Contract Details
Ancillary Care Services
Facility name
Horizon Chiropractic
Provider ID
P000004233
NPI
1306120670
Tax ID
453231326
Effective Date
8/15/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
1065 Gessner Drive
Houston, TX 77055
United States
County
Harris
Phone
8327675133 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address