Contract Details
Facility name
Osteoporosis Screening Services Inc
Provider ID
P000004496
NPI
1427002682
Tax ID
752950011
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
2301 South Hampton Rd Suite 700
Dallas, TX 75224
United States
County
Dallas
Phone
2143376513 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address