Jeff    Connors    DC
Contract Details
Advanced Chiro & Sports Care
Facility name
Provider ID
P000006510
Tax ID
752762846
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
973 Quail Ridge
Keller, TX 76248
United States
County
Tarrant
Phone
8174287246 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address