Contract Details
Ancillary Care Services
Facility name
2gether Comprehensive Outpatient Rehabilitation
Provider ID
P000004390
NPI
1376829895
Tax ID
453557064
Effective Date
4/1/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
6116 Oakbend Trail
Fort Worth, TX 76132
United States
County
Tarrant
Phone
9036347106 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address