Contract Details
Facility name
Family Sleep Diagnostics, Inc
Provider ID
P000005162
NPI
1700951118
Tax ID
020771581
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
5601 North MacArthur Blvd Suite B7
Irving, TX 75038
United States
County
Dallas
Phone
9727140014 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Sleep Medicine
Map
Address