Sara  L  Dehart    DC
Contract Details
Facility name
Provider ID
P000005467
NPI
1841375078
Tax ID
752670535
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
1503 North Elm
Denton, TX 76201
United States
County
Denton
Phone
9405661660 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address