Contract Details
Monitor Medical, Inc
Facility name
Monitor Medical, Inc
Provider ID
P000005631
NPI
1922213099
Tax ID
760338674
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
9731 Wortham Blvd Suite 102
Houston, TX 77065
United States
County
Harris
Phone
2819705550 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address