Contract Details
Ancillary Care Services
Facility name
Bridges Chiropractic
Provider ID
P000006599
Tax ID
271463449
Effective Date
4/1/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
1210 Oldgate Road Suite 219
Dallas, TX 75218
United States
County
Dallas
Phone
2143272225 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address