Susan  Y  Yu    DC
Contract Details
Ancillary Care Services
Facility name
Provider ID
P000005618
NPI
1922027408
Tax ID
020685041
Effective Date
4/1/2012
Last Updated
5/21/2017
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
10440 North Central Expressway Suite 124
Dallas, TX 75231
United States
County
Dallas
Phone
2142340000 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address