Contract Details
Facility name
Pumps It, Inc
Provider ID
P000004961
NPI
1629014816
Tax ID
760472719
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
10601 Grant Rd Suite 101
Houston, TX 77070
United States
County
Harris
Phone
2819558900 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address