Contract Details
Ancillary Care Services
Facility name
Hall Chiropractic
Provider ID
P000004072
NPI
1235175084
Tax ID
742972225
Effective Date
4/1/2012
Last Updated
10/31/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
914 West Anderson Lane
Austin, TX 78757
United States
County
Travis
Phone
5124544072 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address