Contract Details
Ancillary Care Services
Facility name
Medplus Medical Equipment
Provider ID
P000004820
NPI
1558552422
Tax ID
260654309
Effective Date
8/23/2012
Last Updated
10/23/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
3420 34th Street
Lubbock, TX 79410
United States
County
Lubbock
Phone
8067971733 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address