Contract Details
Ancillary Care Services
Facility name
Healthsource Chiropractic of McKinney
Provider ID
P000003626
NPI
1013294065
Tax ID
453482753
Effective Date
4/1/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
6200 West El Dorado Parkway Suite B
McKinney, TX 75071
United States
County
Collin
Phone
9725299911 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address