Contract Details
Facility name
North TX Clinic & Rehabilitation Center, PA
Provider ID
P000003958
NPI
1174631790
Tax ID
752965644
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
6709 McAdow Crest Dr
North Richland Hills, TX 76180
United States
County
Tarrant
Phone
8175815959 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address