Contract Details
Silver Chiropractic Center
Facility name
Oak Ckiff Family Healthcare PA
Provider ID
P000005080
NPI
1679682884
Tax ID
752879498
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
129 West 9th St
Dallas, TX 75208
United States
County
Dallas
Phone
2149410032 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address