Contract Details
Chironet, LLC
Facility name
Advantage Chiro
Provider ID
P000006548
Tax ID
264620182
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
1151 Peavy Rd
Dallas, TX 75218
United States
County
Dallas
Phone
2143211298 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address