Contract Details
Ancillary Care Services
Facility name
TriMed
Provider ID
P000005774
NPI
1982939898
Tax ID
611597786
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
4141 Southwest Freeway Suite 410
Houston, TX 77027
United States
County
Harris
Phone
7136262339 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address