Contract Details
Ancillary Care Services
Facility name
Pure Precision DME
Provider ID
P000004725
NPI
1518290253
Tax ID
270296310
Effective Date
4/1/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
1607 East Griffin Parkway Suite A
Mission, TX 78572
United States
County
Hidalgo
Phone
9565800909 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address