Contract Details
Ancillary Care Services
Facility name
Brooks Clinic
Provider ID
P000006598
Tax ID
742936369
Effective Date
4/1/2012
Last Updated
10/31/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
3124 Sidney Brooks Drive
San Antonio, TX 78235
United States
County
Bexar
Phone
2102262101 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address