Contract Details
Memorial MRI & Diagnostic, LLC
Facility name
Memorial Women's Center
Provider ID
P000006491
Tax ID
760677442
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
88.00
Location Details
Address
8800 Katy Fwy Suite 105
Houston, TX 77024
United States
County
Harris
Phone
7134613399 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address