Contract Details
Ancillary Care Services
Facility name
Pro Step at Amarillo
Provider ID
P000003938
NPI
1164555173
Tax ID
391878099
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
1901 Medi Park Drive Suite 65
Amarillo, TX 79106
United States
County
Potter
Phone
8064687611 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address