Contract Details
Ancillary Care Services
Facility name
Texas Star HMES
Provider ID
P000005239
NPI
1740354521
Tax ID
043713373
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
2611 North Beltline Road Suite 113
Mesquite, TX 75185
United States
County
Dallas
Phone
9722229263 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address