Contract Details
Ancillary Care Services
Facility name
Dumas Physical Therapy
Provider ID
P000004088
NPI
1235363979
Tax ID
264512338
Effective Date
4/1/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
515 East 1st Street
Dumas, TX 79029
United States
County
Moore
Phone
8069342634 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address