Contract Details
Facility name
Pars (MRI) Neurological, PA
Provider ID
P000004890
NPI
1598703571
Tax ID
760411229
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
1010 West Baker Rd Suite 101
Baytown, TX 77521
United States
County
Harris
Phone
2814275555 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address