Contract Details
Ancillary Care Services
Facility name
West Texas Eye Care
Provider ID
P000006620
Tax ID
453073035
Effective Date
4/30/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
880 Daggett Road
Pecos, TX 79772
United States
County
Reeves
Phone
4324453662 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Optometry
Map
Address