Contract Details
Facility name
D' Marc Medical
Provider ID
P000005443
NPI
1831112499
Tax ID
752693641
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
1825 Market Center Blvd Suite 4
Dallas, TX 75207
United States
County
Dallas
Phone
2149569770 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address