Contract Details
Ancillary Care Services
Facility name
Total Respiratory
Provider ID
P000003693
NPI
1043394679
Tax ID
320195291
Effective Date
4/1/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2002 Medical Parkway Suite B
San Marcos, TX 78666
United States
County
Hays
Phone
5124520004 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address