# CLOVIS SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649251679
- **Authorized official:** ALBERT M KWAN MD (OWNER)
- **Authorized official phone:** (575) 762-2207

## Contact information

- **Practice address:** 1820 W 21ST ST, CLOVIS, NM 88101-4024
- **Practice address phone:** (575) 762-2207
- **Practice address fax:** (575) 762-7108
- **Mailing address:** 1820 W 21ST ST, CLOVIS, NM 88101-4024
- **Mailing address phone:** (575) 762-2207
- **Mailing address fax:** (575) 762-7108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 3042 | NM | Yes |

## Other

- **Enumeration date:** 11/08/2005
- **Last updated:** 04/04/2016