Contract Details
HMSD LLC
Facility name
HMSD LLC
Provider ID
P000003982
NPI
1184798894
Tax ID
870772301
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
17115 Red Oak Dr Suite 212
Houston, TX 77090
United States
County
Harris
Phone
7133837900 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Sleep Medicine
Map
Address