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: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6910 JOHN DAVID CIR STE 200
AMARILLO TX
79124-0901
US

IV. Provider business mailing address

6910 JOHN DAVID CIR STE 200
AMARILLO TX
79124-0901
US

V. Phone/Fax

Practice location:
  • Phone: 806-804-2494
  • Fax: 806-804-2495
Mailing address:
  • Phone: 806-804-2494
  • Fax: 806-804-2495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VICKI LYNN POWERS
Title or Position: DIRECTOR
Credential: RN
Phone: 806-804-2494