Contract Details
Ancillary Care Services
Facility name
Medical Technologies
Provider ID
P000004527
NPI
1427359694
Tax ID
721298585
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
7824 Jones Maltsberger Road
San Antonio, TX 78216
United States
County
Bexar
Phone
2108260433 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address