Contract Details
Ancillary Care Services
Facility name
Isokinetics
Provider ID
P000006488
Tax ID
710793997
Effective Date
4/1/2012
Last Updated
10/31/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
2801 Richmond Road Suite 407
Texarkana, TX 75503
United States
County
Bowie
Phone
8663055685 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address