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Organization
HIGH PLAINS PLASTIC AND RECONSTRUCTIVE SURGERY
Active
Organization
HIGH PLAINS PLASTIC AND RECONSTRUCTIVE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY A MORA (BILLING)
(806) 242-2001
Entity
Organization
Contact information
Practice address
3501 S SONCY RD, 1001, AMARILLO, TX 79119-6407
(806) 242-2001
(806) 322-2015
Mailing address
3501 S SONCY RD, 1001, AMARILLO, TX 79119-6407
(806) 242-2001
(806) 322-2015
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019KD
BCBS OF TEXAS
TX
Enumeration date
05/31/2006
Last updated
07/12/2007
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