Contract Details
Universal MRI & Diagnostics
Facility name
West Loop MRI
Provider ID
P000005349
NPI
1790725331
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
3115 West Loop South Suite 8
Houston, TX 77027
United States
County
Harris
Phone
7139601166 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address