Contract Details
Area Wide Medical, Inc
Facility name
Area Wide Medical, Inc
Provider ID
P000003846
NPI
1114963303
Tax ID
752721641
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
301 East Tahoka Rd
Brownfield, TX 79316
United States
County
Terry
Phone
8068946551 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address