Contract Details
Chironet, LLC
Facility name
Robert Louder DC
Provider ID
P000006551
Tax ID
271826941
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
11325 Pegasus St Suite W-165
Dallas, TX 75238
United States
County
Dallas
Phone
2143418725 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address