Contract Details
Ancillary Care Services
Facility name
2 River Chiropractic
Provider ID
P000006573
Tax ID
742574674
Effective Date
4/1/2012
Last Updated
10/31/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
100 Main Street
Marble Falls, TX 78654
United States
County
Burnet
Phone
8306931985 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address