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Contract Details
Ancillary Care Services
Facility name
Global Chiropractic
Provider ID
P000005130
NPI
1699783878
Tax ID
202782699
Effective Date
4/1/2012
Last Updated
10/22/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
315 South Jupiter Road Suite 100
Allen, TX 75002
United States
County
Collin
Phone
2145479600
(
Phone
)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
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Address