Contract Details
Ancillary Care Services
Facility name
Alamo Sleep Disorders Center
Provider ID
P000004534
NPI
1437191962
Tax ID
203491930
Effective Date
4/1/2012
Last Updated
10/22/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
2128 Babcock Road Building 1
San Antonio, TX 78229
United States
County
Bexar
Phone
2103401141 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Sleep Medicine
Map
Address