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Organization
COVENANT HIGH PLAINS SURGERY CENTER, LLC
Active
Organization
COVENANT HIGH PLAINS SURGERY CENTER, LLC
Active
Other names
Covenant High Plains Surgery Center - 22nd Street
Organization subpart
No
Provider details
NPI number
Authorized official
SHON SANDERS (AUTHORIZED OFFICIAL)
(610) 644-8900
Entity
Organization
Contact information
Practice address
3610 22ND STREET, LUBBOCK, TX 79410-1307
(806) 776-4772
(806) 776-4777
Mailing address
3610 22ND STREET, LUBBOCK, TX 79410-1307
(806) 776-4772
(806) 776-4777
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186066001
—
TX
Enumeration date
08/19/2006
Last updated
06/07/2023
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