Healthcare Provider Details
I. General information
NPI: 1861283376
Provider Name (Legal Business Name): HIGH PLAINS SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/14/2025
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6910 JOHN DAVID CIR
AMARILLO TX
79124-1635
US
IV. Provider business mailing address
1600 S COULTER ST STE B
AMARILLO TX
79106-0703
US
V. Phone/Fax
- Phone: 806-355-4900
- Fax:
- Phone: 806-355-4900
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VICKI
LYNN
POWERS
Title or Position: DIRECTOR
Credential: RN
Phone: 806-355-4900