Member Login
Home
About Us
Become a Provider
Become a Member
Administrators
Contact Us
Member Login
Erin
M
Farahani
DC
Contract Details
Facility name
Provider ID
P000005619
NPI
1922032663
Tax ID
752684349
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
109 South Ohio St
Celina, TX 75009
United States
County
Collin
Phone
9723824849
(
Phone
)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address