Contract Details
Ancillary Care Services
Facility name
Peak Diagnostics
Provider ID
P000004031
NPI
1215205687
Tax ID
453743275
Effective Date
6/28/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
4141 Southwest Freeway Suite 410
Houston, TX 77027
United States
County
Harris
Phone
7136262334 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address