Contract Details
Ancillary Care Services
Facility name
Alliance Pain Centers
Provider ID
P000004242
NPI
1306854369
Tax ID
752636617
Effective Date
4/1/2012
Last Updated
11/1/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
2800 North Dallas Parkway Suite 150
Plano, TX 75093
United States
County
Collin
Phone
9723780383 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address