Contract Details
Ancillary Care Services
Facility name
North Texas Rehabilitation Center
Provider ID
P000005049
NPI
1669475885
Tax ID
751053631
Effective Date
4/1/2012
Last Updated
10/31/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
96.00
Location Details
Address
1005 Midwestern Parkway
Wichita Falls, TX 76302
United States
County
Wichita
Phone
9403220771 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address