Contract Details
Ancillary Care Services
Facility name
Alivio Health Center
Provider ID
P000005454
NPI
1831273630
Tax ID
134333219
Effective Date
7/26/2012
Last Updated
10/22/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
9515 Gateway Boulevard West Suite N
El Paso, TX 79925
United States
County
El Paso
Phone
9157787778 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address