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Contract Details
Spinal Aid Center
Facility name
Spinal Aid Center
Provider ID
P000006602
Tax ID
262986039
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
105 East Hubbard St
Lindale, TX 75771
United States
County
Smith
Phone
9038812225
(
Phone
)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
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Address