Contract Details
Ancillary Care Services
Facility name
Bay Oaks Chiropractic
Provider ID
P000005508
NPI
1871515395
Tax ID
205159560
Effective Date
4/1/2012
Last Updated
10/22/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
17080 Highway 3
Webster, TX 77598
United States
County
Harris
Phone
2815575525 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address