Contract Details
Monitor Medical, Inc
Facility name
Monitor Medical, Inc
Provider ID
P000006569
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
1602 West Business 380 Suite 200
Decatur, TX 76234
United States
County
Wise
Phone
9406268131 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address