Contract Details
Facility name
Universal DME
Provider ID
P000005014
NPI
1649509589
Tax ID
800500814
Effective Date
4/30/2012
Last Updated
3/4/2022
Direct Contract
Yes
Term Date
2/28/2022
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
8100 West Carpenter Fwy Suite 150
Dallas, TX 75247
United States
County
Dallas
Phone
9726774895 (Phone)
Billing Details
Address
8100 West Carpenter Fwy
Suite 150
Dallas, TX 75247
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address