Contract Details
Universal MRI & Diagnostics
Facility name
Universal Town & Country MRI
Provider ID
P000005042
NPI
1669412219
Tax ID
760502924
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
10929 Katy Fwy
Houston, TX 77079
United States
County
Harris
Phone
7134655845 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address