Contract Details
Ancillary Care Services
Facility name
Total Sleep Diagnostics
Provider ID
P000005763
NPI
1982818761
Tax ID
721266800
Effective Date
4/1/2012
Last Updated
10/31/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
1425 Greenway Drive Suite 300
Irving, TX 75038
United States
County
Dallas
Phone
4694995249 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Sleep Medicine
Map
Address