Contract Details
Ancillary Care Services
Facility name
Twin Rivers Respiratory Care
Provider ID
P000005382
NPI
1801005863
Tax ID
161655984
Effective Date
4/1/2012
Last Updated
10/22/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
2019 Summerhill Road
Texarkana, TX 75501
United States
County
Bowie
Phone
3039058527 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address