Contract Details
Monitor Medical, Inc
Facility name
Monitor Medical
Provider ID
P000004445
NPI
1396951711
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
19221 Interstate 45 South Suite 170
Conroe, TX 77385
United States
County
Montgomery
Phone
2814197070 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address