Practice Name (required)
Contact Name (required)
Contact Phone (required)
Contact Email (required)
Primary Specialty
Estimated Monthly Revenue
Estimated Monthly Patient Encounters
Current Billing Please select one..In-HouseOutsourced
Current EMR/Billing System
When do you plan on making a change to your current billing? Please select one..Immediately3 – 6 months1 yearJust gathering info
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2911 A.W. Grimes Blvd, Suite 770Pflugerville, TX 78660
(512) 956-5449
Monday – Friday 8AM – 4:30PMSaturday and Sunday – CLOSED
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