GRACE CLINIC OF LUBBOCK
NPI 1912953357
Family Medicine in Lubbock, TX

Q: What is Grace Clinic Of Lubbock's NPI number?

The NPI number for Grace Clinic Of Lubbock is 1912953357. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Grace Clinic.

Q: What is Grace Clinic Of Lubbock's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 26, 2006CLIA Certified · 2 labs

4515 MARSHA SHARP FWY, LUBBOCK, TX 79407(806) 744-7223(806) 740-3325 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2025, May 10, 2024, Apr 2, 2024 and 3 more (6 updates tracked since 2019).

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About Grace Clinic Of Lubbock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE CLINIC OF LUBBOCK (NPI 1912953357), doing business as Grace Clinic, is a healthcare organization registered as a family medicine in Lubbock, Texas and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1912953357

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGRACE CLINIC OF LUBBOCK

Location Address4515 MARSHA SHARP FWYLubbock, TX 79407-2520

Mailing AddressPo Box 676132Dallas, TX 75267-6132 · (806) 744-7223 · Fax (806) 740-3325

Phone(806) 744-7223

Fax(806) 740-3325

Organization SubpartNo

Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786

Enumeration DateMay 26, 2006

Last NPPES UpdateMay 6, 20256 updates tracked since enumeration

NPPES CertifiedMay 6, 2025

✔ NPI 1912953357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

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.

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedSurgeryTaxonomy 208600000X

Also ListedUrologyTaxonomy 208800000X

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

4515 MARSHA SHARP FWY, Lubbock, TX 79407

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Other Names 1

Doing Business AsGrace Clinic

Secondary Practice Locations 4

Location 13525 19th StLubbock, TX 79410-1202 · Phone (806) 687-8346 · Fax (888) 856-2848

Location 210208 Quaker Ave Ste 200Lubbock, TX 79424-8394 · Phone (806) 795-4500 · Fax (806) 516-5400

Location 33815 23rd StLubbock, TX 79410-1809 · Phone (806) 722-3500 · Fax (806) 796-0689

Location 43838 50th StLubbock, TX 79413-3808 · Phone (806) 792-5522 · Fax (806) 785-6768

Other Identifiers 4

Other0608DCTX · Bcbs (outside Imaging)

Other0031NRTX · Bcbs (group #)

Medicaid184774101TX

OtherCL5159TX · Bcbs (outside Laboratory)

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2106771

Grace Clinic Of Lubbock · Lubbock, TX

Active · expires Dec 28, 2027

CLIA Number45D2106771

Laboratory TypePhysician Office

Certificate Effective DateDecember 29, 2025

Certificate Expiration DateDecember 28, 2027

Laboratory DirectorKaren Jane Scott

Laboratory Phone(806) 744-7223

Laboratory LocationGrace Clinic Of Lubbock2424 50th Suite 202, Lubbock, TX 79412

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D1101487

Grace Clinic Of Lubbock · Lubbock, TX

Active · expires Jun 25, 2027

CLIA Number45D1101487

Laboratory TypePhysician Office

Certificate Effective DateJune 26, 2025

Certificate Expiration DateJune 25, 2027

Laboratory DirectorChetlen Crossnoe

Laboratory Phone(806) 744-7223

Laboratory LocationGrace Clinic Of Lubbock4515 Marsha Sharp Freeway, Lubbock, TX 79407

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIXTUS ATABONG PA

Physician Assistant (Surgical)