Contract Details
Sleep Apnea Labs of San Antonio, Inc
Facility name
Sleep Apnea Labs of San Antonio
Provider ID
P000004526
NPI
1427299551
Tax ID
753050645
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
14615 San Pedro Ave Suite 220
San Antonio, TX 78232
United States
County
Bexar
Phone
2104797704 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Sleep Medicine
Map
Address