Contract Details
Facility name
Nulife Sleep Diagnostic Inc
Provider ID
P000004596
NPI
1457590119
Tax ID
264300486
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
5506 4th St
Katy, TX 77493
United States
County
Harris
Phone
2813915211 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Sleep Medicine
Map
Address