Contract Details
Facility name
Renaissance DME Inc
Provider ID
P000005235
NPI
1740248798
Tax ID
770623709
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
601 South Bicentennial Blvd
McAllen, TX 78501
United States
County
Hidalgo
Phone
9566313747 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address