Contract Details
Ancillary Care Services
Facility name
Northpoint Radiation Center
Provider ID
P000005159
NPI
1700922903
Tax ID
208297864
Effective Date
4/1/2012
Last Updated
10/22/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
906 West Randol Mill Road
Arlington, TX 76012
United States
County
Tarrant
Phone
8172614906 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address