DOMAIN SURGICAL LLC NPI 1780167866

NPI Information

NPI: 1780167866
Provider Name: DOMAIN SURGICAL, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D2168831

Address:
2300 WOLFLIN AVE
AMARILLO, TX
ZIP 79109
Phone: (806) 350-5437
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DOMAIN SURGICAL, LLC is an ambulatory surgical clinic center in Amarillo, TX. DOMAIN SURGICAL, LLC NPI is 1780167866. The provider is registered as an organization entity type.

The provider's business location address is:

2300 WOLFLIN AVE
AMARILLO, TX
ZIP 79109-832
Phone: (806) 350-5437
Fax: (806) 350-5438

The provider's authorized official is Angela Kathleen Hess .
The authorized official title is General Director and has the following contact phone number (806) 670-5318.

The CLIA number assigned to this NPI record is 45D2168831 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2018 and was last updated on 9/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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