Contract Details
Facility name
Heights Diagnostic Imaging Center
Provider ID
P000003951
NPI
1174561427
Tax ID
760503694
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
427 West 20th St Suite 401
Houston, TX 77008
United States
County
Harris
Phone
7138696296 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address