Contract Details
Ancillary Care Services
Facility name
Mount Pleasant Therapy Clinic
Provider ID
P000004686
NPI
1497913230
Tax ID
262671101
Effective Date
4/30/2012
Last Updated
10/25/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
2310 Greenhill Road
Mount Pleasant, TX 75455
United States
County
Titus
Phone
9035773700 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address