Contract Details
Bio Energetic Healthcare
Facility name
Bioenergetic Healthcare
Provider ID
P000004141
NPI
1265468821
Tax ID
756439818
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
5720 LBJ Fwy Suite 150
Dallas, TX 75240
United States
County
Dallas
Phone
9726612378 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address