Contract Details
Facility name
Duke Medical Equipment, LLC
Provider ID
P000004355
NPI
1366478901
Tax ID
841637893
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
4305 Hugh Echols Blvd
Baytown, TX 77521
United States
County
Harris
Phone
2814202311 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address