Common Contracts

PRIMARY CARE PROVIDER AGREEMENT

Provider Agreement • August 12th, 2019 • Texas

• Contract Type
  Provider Agreement
• Filed
  August 12th, 2019
• Jurisdiction
  Texas

THIS PROVIDER AGREEMENT (the "Agreement") is made and entered into this first day [month/year] , between TEACO Provider Network, L.L.C., a Texas LLC (“IPA”), and (“Primary Care Provider,” or “PCP”) having his or her place of business at _ . IPA and Provider shall each be referred to as a "Party," and together as "the Parties".