Organization
CCA ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON THOMPSON (CEO)
(806) 679-6920
Entity
Organization
Contact information
Practice address
6200 W I 40, AMARILLO, TX 79106-2512
(806) 354-9764
Mailing address
6200 W I 40, AMARILLO, TX 79106-2512
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2016
Last updated
01/31/2016
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