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Contract Details
Healthcare Express, LLP
Facility name
Healthcare Express
Provider ID
P000006560
Tax ID
861090156
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
1509 West Loop 281
Longview, TX 75604
United States
County
Gregg
Phone
9038317270
(
Phone
)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address