Contract Details
Ancillary Care Services
Facility name
Universal Rehab Center
Provider ID
P000004071
NPI
1235140906
Tax ID
710936000
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
7940 Callaghan Road Suite 110
San Antonio, TX 78229
United States
County
Bexar
Phone
2106857556 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address