Contract Details
Ancillary Care Services
Facility name
All Care Family & Urgent Care Clinic
Provider ID
P000005372
NPI
1790926376
Tax ID
364648039
Effective Date
4/1/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
4101 Ross Avenue Suite 500
Dallas, TX 75204
United States
County
Dallas
Phone
2145159646 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address