Contract Details
Facility name
Synergy Sports Medicine & Rehab
Provider ID
P000004226
NPI
1295932879
Tax ID
752109263
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
1406 West Randol Mill Rd
Arlington, TX 76012
United States
County
Tarrant
Phone
8172742273 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address