Contract Details
Facility name
Spring Chiropractic & Rehab
Provider ID
P000004421
NPI
1396730768
Tax ID
760640357
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
19510 Kuykendahl Rd Suite A
Spring, TX 77379
United States
County
Harris
Phone
2816517111 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address