Contract Details
Las Colinas Spine & Sports Medicine
Facility name
Las Colinas Spine & Sports Medicine
Provider ID
P000006638
Tax ID
752689595
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
6901 Snider Plaza Suite 140
Dallas, TX 75205
United States
County
Dallas
Phone
2142520000 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address