Contract Details
Ancillary Care Services
Facility name
X-Med Oxygen & Medical Equipment
Provider ID
P000006577
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
15230 Surveyor Boulevard
Addison, TX 75001
United States
County
Dallas
Phone
9724165502 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address