Contract Details
Ancillary Care Services
Facility name
Angleton Urgent Care
Provider ID
P000004267
NPI
1316976251
Tax ID
202148637
Effective Date
4/1/2012
Last Updated
10/22/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
2327 East Highway 35
Angleton, TX 77515
United States
County
Brazoria
Phone
9798488070 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address