Contract Details
Facility name
Watkins Chiropractic
Provider ID
P000004777
NPI
1548210537
Tax ID
752852423
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
3636 North MacArthur Blvd Suite 185
Irving, TX 75062
United States
County
Dallas
Phone
9722552225 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address