Contract Details
Ancillary Care Services
Facility name
Durbin Hearing Center
Provider ID
P000006595
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
240 North Gun Barrel Lane
Gun Barrel City, TX 75156
United States
County
Henderson
Phone
9038870839 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address