Contract Details
Ancillary Care Services
Facility name
Durbin Hearing Center
Provider ID
P000005357
NPI
1790806677
Tax ID
161682548
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
2217 West 15th Street
Plano, TX 75075
United States
County
Collin
Phone
9729645400 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address