Contract Details
Ancillary Care Services
Facility name
Dallas Doctors
Provider ID
P000006642
Tax ID
201147677
Effective Date
4/1/2012
Last Updated
10/22/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
14110 Dallas Parkway Suite 100
Dallas, TX 75254
United States
County
Dallas
Phone
9727209940 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address