Danny  R  Killough    DC
Contract Details
Facility name
Provider ID
P000005288
NPI
1760574404
Tax ID
752777820
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
106 North 7th St
Ballinger, TX 76821
United States
County
Runnels
Phone
3253658888 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address