Contract Details
Ancillary Care Services
Facility name
HLS Home Medical Equipment
Provider ID
P000003734
NPI
1063498442
Tax ID
201117778
Effective Date
4/1/2012
Last Updated
10/22/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
88.00
Location Details
Address
3207 West Alberta Road
Edinburg, TX 78539
United States
County
Hidalgo
Phone
9569928855 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address