Contract Details
Ancillary Care Services
Facility name
Medi-Care Equipment Specialties
Provider ID
P000004792
NPI
1548357056
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
1401 South Austin Street
Brenham, TX 77833
United States
County
Washington
Phone
9798361240 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address