Organization
NORTHWEST TEXAS SURGICAL HOSPITAL, LLC
Active
Other names
Northwest Texas Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAY GEORGE WEISS (ADMINISTRATOR)
(806) 359-7999
Entity
Organization
Contact information
Practice address
3501 SONCY ROAD, SUITE #118, AMARILLO, TX 79118
(806) 359-7999
(806) 355-7598
Mailing address
PO BOX 50360, AMARILLO, TX 79159-0360
(806) 351-1560
(806) 351-0343
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C17S
BLUE CROSS & BLUE SHIELD
TX
05
—
142537301
—
TX
Enumeration date
10/02/2006
Last updated
07/06/2009
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