Contract Details
Ancillary Care Services
Facility name
Amistad HME
Provider ID
P000004481
NPI
1417199779
Tax ID
264026707
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
17460 Interstate 35 North Suite 160
Schertz, TX 78154
United States
County
Guadalupe
Phone
2103772463 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address