Contract Details
Ancillary Care Services
Facility name
A Plus Medical Supply
Provider ID
P000004303
NPI
1336221092
Tax ID
742841865
Effective Date
4/1/2012
Last Updated
10/31/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
710 Trinity Street
Mission, TX 78572
United States
County
Hidalgo
Phone
9565818008 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address