Contract Details
Ancillary Care Services
Facility name
Mathews Family Chiropractic
Provider ID
P000005525
NPI
1881628303
Tax ID
202667817
Effective Date
4/1/2012
Last Updated
10/22/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
5312 Park Spring Boulevard Suite 130
Arlington, TX 76017
United States
County
Tarrant
Phone
8174669400 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address