Contract Details
Ancillary Care Services
Facility name
Anla Healthcare
Provider ID
P000005648
NPI
1932194651
Tax ID
752507845
Effective Date
4/1/2012
Last Updated
11/1/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
3704 Arapaho Road
Addison, TX 75001
United States
County
Dallas
Phone
9726904698 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address