Organization
DOMAIN SURGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA KATHLEEN HESS (GENERAL DIRECTOR)
(806) 670-5318
Entity
Organization
Contact information
Practice address
2300 WOLFLIN AVE, AMARILLO, TX 79109-1832
(806) 350-5437
(806) 350-5438
Mailing address
2455 I 40 W, AMARILLO, TX 79109-1852
(806) 350-5437
(806) 350-5438
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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