Contract Details
Ancillary Care Services
Facility name
X-Med Oxygen & Medical Equipment
Provider ID
P000006576
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
2601 Cartwright Road Suite B
Missouri City, TX 77459
United States
County
Fort Bend
Phone
2814919555 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address