Contract Details
TMC Orthopedic
Facility name
TMC Brace Place
Provider ID
P000004913
NPI
1598889941
Tax ID
760584487
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
8000 Sh 242 Suite 100
Conroe, TX 77385
United States
County
Montgomery
Phone
9362712022 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Orthotics/Prosthetics, Services
Map
Address