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Contract Details
Ancillary Care Services
Facility name
H&B Clinic
Provider ID
P000006616
Tax ID
273189786
Effective Date
4/15/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
8360 LBJ Freeway Suite 180
Dallas, TX 75243
United States
County
Dallas
Phone
2145708618
(
Phone
)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
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Address