Contract Details
Ancillary Care Services
Facility name
Hall Chiropractic
Provider ID
P000006659
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
2407 South Congress Avenue
Austin, TX 78704
United States
County
Travis
Phone
5124422777 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address