Sara  M  Guido    DC
Contract Details
Facility name
Provider ID
P000005789
NPI
1992791115
Tax ID
870713327
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
11570 Pellicano Dr Suite A
El Paso, TX 79936
United States
County
El Paso
Phone
9155948298 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address