Contract Details
Ancillary Care Services
Facility name
Long Point Medical Clinic
Provider ID
P000005318
NPI
1770804296
Tax ID
743094509
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
8153 Long Point Road
Houston, TX 77055
United States
County
Harris
Phone
7137228799 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address