Contract Details
Ancillary Care Services
Facility name
Westheimer Chiropractic
Provider ID
P000004886
NPI
1588897847
Tax ID
651005281
Effective Date
4/1/2012
Last Updated
10/9/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
4507 North Pine Island Road
Sunrise, FL 33351
United States
County
Broward
Phone
9547220500 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address