Organization
COVENANT HIGH PLAINS SURGERY CENTER, LLC
Active
Other names
Covenant High Plains Surgery Center - Quaker Avenue
Organization subpart
No
Provider details
NPI number
Authorized official
SHON SANDERS (AUTHORIZED OFFICIAL)
(610) 644-8900
Entity
Organization
Contact information
Practice address
2301 QUAKER AVE, LUBBOCK, TX 79410-1874
(806) 725-8801
(806) 725-8820
Mailing address
2301 QUAKER AVE, LUBBOCK, TX 79410-1874
(806) 725-8801
(806) 725-8820
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
006930
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085876301
—
TX
Enumeration date
04/10/2006
Last updated
06/07/2023
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