Contract Details
Ancillary Care Services
Facility name
X-Med Oxygen & Medical Equipment
Provider ID
P000005444
NPI
1831146943
Tax ID
352198236
Effective Date
4/1/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
203 South Ector Drive Suite 204
Euless, TX 76040
United States
County
Tarrant
Phone
8172670500 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address