Francine    Morris    DC
Contract Details
Ancillary Care Services
Facility name
Provider ID
P000005800
NPI
1043201809
Tax ID
611208897
Effective Date
4/1/2012
Last Updated
10/10/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
127 Riverside Drive
Cynthiana, KY 41031
United States
County
Harrison
Phone
8592342600 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address