Contract Details
Ancillary Care Services
Facility name
Choice Medical Supply
Provider ID
P000003840
NPI
1114925856
Tax ID
752656468
Effective Date
4/1/2012
Last Updated
11/1/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
17 Windmill Circle
Abilene, TX 79606
United States
County
Taylor
Phone
3256772250 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address