Contract Details
Ancillary Care Services
Facility name
Preferred Home Medical
Provider ID
P000006533
Tax ID
010560088
Effective Date
4/1/2012
Last Updated
10/22/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
1917 Crockett Road Suite 8
Palestine, TX 75801
United States
County
Anderson
Phone
9037293550 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address