Contract Details
Ancillary Care Services
Facility name
Arango Imaging Center
Provider ID
P000005782
NPI
1992745756
Tax ID
200996521
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
643 South Mesa Hills Drive Suite A
El Paso, TX 79912
United States
County
El Paso
Phone
9158567533 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address