Contract Details
Ancillary Care Services
Facility name
Doctors Express of The Beaumont Area
Provider ID
P000005469
NPI
1841525235
Tax ID
270642524
Effective Date
5/24/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
3195 Dowlen Road Suite 105
Beaumont, TX 77706
United States
County
Jefferson
Phone
4098601888 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address