Contract Details
Ancillary Care Services
Facility name
Pro Step at Borger
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
1041 North Florida Street
Borger, TX 79007
United States
County
Hutchinson
Phone
8062749856 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address