Contract Details
Ancillary Care Services
Facility name
HME Specialists
Provider ID
P000004386
NPI
1376738484
Tax ID
742963697
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
929 West King Avenue
Kingsville, TX 78363
United States
County
Kleberg
Phone
3615161900 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address