Contract Details
Ancillary Care Services
Facility name
Medi-Care Equipment Specialties
Provider ID
P000004177
NPI
1275605362
Tax ID
742293496
Effective Date
4/1/2012
Last Updated
10/31/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
888 Graham Drive
Tomball, TX 77375
United States
County
Harris
Phone
2813570778 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address