Contract Details
Ancillary Care Services
Facility name
Bay Area Rehabilitation Center
Provider ID
P000003604
NPI
1003842642
Tax ID
741303721
Effective Date
4/1/2012
Last Updated
10/31/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
78.00
Location Details
Address
5313 Decker Drive
Baytown, TX 77520
United States
County
Harris
Phone
2818384477 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address