Contract Details
Ancillary Care Services
Facility name
Cashwell's Natural Health
Provider ID
P000003636
NPI
1023019221
Tax ID
710793723
Effective Date
4/1/2012
Last Updated
10/21/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
2 Davis Drive Suite 1
Morrilton, AR 72110
United States
County
Conway
Phone
5014772211 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address