Contract Details
Ancillary Care Services
Facility name
Silva Clinic
Provider ID
P000004809
NPI
1558365338
Tax ID
742723026
Effective Date
4/1/2012
Last Updated
10/31/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
1900 North Oregon Street Suite 420
El Paso, TX 79902
United States
County
El Paso
Phone
9155331388 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address