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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
5948 West Parker Road Suite 100
Plano, TX 75093
United States
County
Collin
Phone
9723784114
(
Phone
)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address