Contract Details
Ancillary Care Services
Facility name
El Campo Chiropractic
Provider ID
P000006515
Tax ID
742051593
Effective Date
4/1/2012
Last Updated
10/31/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
1009 North Mechanic Street
El Campo, TX 77437
United States
County
Wharton
Phone
9795320261 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address