Contract Details
Facility name
Chens TCM Clinic, PC
Provider ID
P000004533
NPI
1437172921
Tax ID
752796684
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
4100 West 15th St Suite 116
Plano, TX 75093
United States
County
Collin
Phone
9725990852 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address