Contract Details
Ancillary Care Services
Facility name
Sime Chiropractic Clinic
Provider ID
P000003688
NPI
1043329238
Tax ID
204441569
Effective Date
4/1/2012
Last Updated
10/22/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
425 Mesa Hills Drive Building A
El Paso, TX 79912
United States
County
El Paso
Phone
9155815745 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address