Contract Details
Chironet, LLC
Facility name
Westside Spine and Rehab
Provider ID
P000006586
Tax ID
331649154
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
1051 Haskell St Suite 107
Fort Worth, TX 76107
United States
County
Tarrant
Phone
8177386668 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address