Contract Details
Ancillary Care Services
Facility name
Christian Care Medical Equipment
Provider ID
P000004438
NPI
1396885778
Tax ID
030561394
Effective Date
4/1/2012
Last Updated
10/22/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
4455 South Padre Island Drive Suite 46
Corpus Christi, TX 78411
United States
County
Nueces
Phone
3613349944 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address