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Contract Details
Ancillary Care Services
Facility name
Harrington Chiropractic Center
Provider ID
P000005438
NPI
1821263104
Tax ID
752058791
Effective Date
8/15/2012
Last Updated
11/1/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
1980 Nantucket Drive Suite 104
Richardson, TX 75080
United States
County
Dallas
Phone
9722381373
(
Phone
)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
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