Contract Details
Ancillary Care Services
Facility name
Heb Chiropractic Rehab Center
Provider ID
P000005385
NPI
1801043831
Tax ID
710979309
Effective Date
4/1/2012
Last Updated
10/31/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
451 Westpark Way Suite 7
Euless, TX 76040
United States
County
Tarrant
Phone
8173547300 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address