Contract Details
Ancillary Care Services
Facility name
Leander Physical Therapy
Provider ID
P000005231
NPI
1730416181
Tax ID
742979344
Effective Date
4/1/2012
Last Updated
10/31/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
502 Crystal Falls Parkway
Leander, TX 78641
United States
County
Williamson
Phone
5125280800 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address