Contract Details
Ancillary Care Services
Facility name
Pro Step at Lubbock
Provider ID
P000006513
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
4710 67th Street
Lubbock, TX 79414
United States
County
Lubbock
Phone
8067961774 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address