Grace Clinic Imaging Department

NPI #1558523357 in Lubbock, Texas

Provider Information

NPI Number
1558523357
Entity Type
Organization
Organization Name
Grace Clinic Imaging Department
Subpart
Yes (part of a larger organization)
Parent Organization
GRACE CLINIC
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Jul 2, 2008
Last Updated
May 6, 2025

Practice Location

Address
4515 MARSHA SHARP FWY
State
Texas
ZIP Code
79407-2520
Phone
(806) 744-7223

Authorized Official

Name
DONALD WAYNE ANDERSON JR.
Title
ASSISTANT SECRETARY OF ENROLLMENTS
Phone
(425) 358-9786

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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