Contract Details
Ancillary Care Services
Facility name
Park Central Chiropractic
Provider ID
P000006572
Tax ID
272662948
Effective Date
4/1/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
12404 Park Central Drive Suite 125
Dallas, TX 75251
United States
County
Dallas
Phone
2147187832 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address