Contract Details
Ancillary Care Services
Facility name
Physical Therapy Clinics Park Cities
Provider ID
P000006466
Tax ID
751500893
Effective Date
4/1/2012
Last Updated
10/31/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
8226 Douglas Avenue Suite 732
Dallas, TX 75225
United States
County
Dallas
Phone
2143691508 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address