Contract Details
Ancillary Care Services
Facility name
Howard Chiropractic Center
Provider ID
P000005367
NPI
1790872778
Tax ID
593491329
Effective Date
4/1/2012
Last Updated
10/2/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
7321 Dr. MLK, Jr. Street North
Saint Petersburg, FL 33702
United States
County
Pinellas
Phone
7275200303 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address