Contract Details
Ancillary Care Services
Facility name
Oxygen & Sleep Associates
Provider ID
P000005359
NPI
1790823722
Tax ID
562439076
Effective Date
4/1/2012
Last Updated
9/26/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
205 Perimeter Drive
Knoxville, TN 37922
United States
County
Knox
Phone
8656716119 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address