Contract Details
Facility name
Care Chiropractic Center
Provider ID
P000005672
NPI
1942392766
Tax ID
752685555
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
3110 East University Blvd Suite B
Odessa, TX 79762
United States
County
Ector
Phone
4325502273 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address