Contract Details
Ancillary Care Services
Facility name
Dallas Doctors
Provider ID
P000006643
Tax ID
201147677
Effective Date
4/20/2012
Last Updated
10/22/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
4305 Pinnacle Point Drive Suite 301
Dallas, TX 75211
United States
County
Dallas
Phone
2143372100 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address