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Contract Details
Able Brace & Limb
Facility name
Able Brace & Limb
Provider ID
P000003784
NPI
1083738348
Tax ID
582667399
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
2301 West Walnut St Suite 17
Rogers, AR 72756
United States
County
Benton
Phone
4796312253
(
Phone
)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Orthotics/Prosthetics, Services
Map
Address