Contract Details
Ancillary Care Services
Facility name
North Texas Sleep Disorders Center
Provider ID
P000004425
NPI
1396748836
Tax ID
752521859
Effective Date
4/1/2012
Last Updated
11/1/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
1213 Bent Oaks Court
Denton, TX 76210
United States
County
Denton
Phone
9405911496 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Sleep Medicine
Map
Address