Contract Details
Chironet, LLC
Facility name
Injury Treatment Centers of Texas, PLLC
Provider ID
P000006589
Tax ID
272430518
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
4808 South Buckner Blvd
Dallas, TX 75227
United States
County
Dallas
Phone
2143884808 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address