Contract Details
Ancillary Care Services
Facility name
X-Med Oxygen & Medical Equipment
Provider ID
P000006578
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
8403 Cross Park Drive Suite 2-A
Austin, TX 78754
United States
County
Travis
Phone
5128369400 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address