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Contract Details
Ancillary Care Services
Facility name
Patients Choice Family Medicine & Rehab
Provider ID
P000006544
Tax ID
412109364
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
13960 North Stemmons Freeway
Farmers Branch, TX 75234
United States
County
Dallas
Phone
2143772849
(
Phone
)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
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Address