Contract Details
Ancillary Care Services
Facility name
Trinity Orthopedics
Provider ID
P000005582
NPI
1902814494
Tax ID
742912904
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
809 West Harwood Road Suite 101
Hurst, TX 76054
United States
County
Tarrant
Phone
9722451315 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address