Contract Details
Ancillary Care Services
Facility name
J&R Medical
Provider ID
P000005729
NPI
1972516144
Tax ID
203136240
Effective Date
4/1/2012
Last Updated
10/22/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
88.00
Location Details
Address
4950 Terminal Street Suite 200
Bellaire, TX 77401
United States
County
Harris
Phone
7133440901 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address