Contract Details
Ancillary Care Services
Facility name
Frisco Chiropractic
Provider ID
P000004209
NPI
1285997973
Tax ID
272960501
Effective Date
8/23/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
4710 Preston Road Suite 308
Frisco, TX 75034
United States
County
Denton
Phone
2144944549 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address