Thomas  J  Kraus    DO
Contract Details
Pain Management Services--Hoover
Facility name
Provider ID
P000000943
NPI
1104804418
Tax ID
721378440
Effective Date
6/15/1999
Last Updated
1/7/2016
Direct Contract
Yes
Term Date
1/7/2016
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2270 Valleydale Road Suite 200
Birmingham, AL 35244
United States
County
Jefferson
Phone
2056826056 (Phone)
Billing Details
Address
513 Brookwood Boulevard
Suite 101
Birmingham, AL 35209
Billing Phone
2058026565
Specialty Type
Pain Medicine
Map
Address