Mohammed  R  Behdar    DC
Contract Details
Facility name
Provider ID
P000005507
NPI
1861728172
Tax ID
800457667
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
17370 Preston Rd
Dallas, TX 75252
United States
County
Collin
Phone
9729309777 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address