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GRACE CLINIC OF LUBBOCK NPI 1912953357


NPI Information

NPI: 1912953357
Provider Name: GRACE CLINIC OF LUBBOCK

Doing Business As: GRACE CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4515 MARSHA SHARP FWY
LUBBOCK, TX
ZIP 79407
Phone: (806) 744-7223
Get Directions

GRACE CLINIC OF LUBBOCK is a family medicine in Lubbock, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GRACE CLINIC OF LUBBOCK NPI is 1912953357. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Grace Clinic.

The provider's business location address is:

4515 MARSHA SHARP FWY
LUBBOCK, TX
ZIP 79407-520
Phone: (806) 744-7223
Fax: (806) 740-3325

The provider's authorized official is Lisa Martin .
The authorized official title is Clinic Administrator and has the following contact phone number (806) 740-3342.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 4/2/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyNo
2207P00000XEmergency MedicineNo
3207Q00000XFamily MedicineYes
4207R00000XInternal MedicineNo
5207V00000XObstetrics & GynecologyNo
6207X00000XOrthopaedic SurgeryNo
72084S0012XPsychiatry & NeurologySleep MedicineNo
82085R0202XRadiologyDiagnostic RadiologyNo
9208600000XSurgeryNo
10208800000XUrologyNo
11208VP0014XPain MedicineInterventional Pain MedicineNo
12213E00000XPodiatristNo
13225100000XPhysical TherapistNo
14363A00000XPhysician AssistantNo
15363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10031NROTHERTEXASBCBS (GROUP #)
2184774101MEDICAIDTEXAS
30608DCOTHERTEXASBCBS (OUTSIDE IMAGING)
4CL5159OTHERTEXASBCBS (OUTSIDE LABORATORY)

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.