● Active Type 2 · Organization
Grace Clinic Of Lubbock
Clinic/Center·Lubbock, TX· NPI 1770237042
·
Enumerated 2022 · 4 years on NPI
Grace Clinic Of Lubbock is 1 of 850 clinic/center organizations in Texas.
NPI age
4 years
Enumerated 2022-02-07
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Anderson
Assistant Secretary Of Enrollments
Last NPPES update
2025-05-06
Source: monthly bulk 2026-05
How this organization compares
Across 850 active clinic/center providers in Texas.
NPI age
4 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2022 → 2026
2022-02Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
4515 Marsha Sharp Fwy
Lubbock, TX 794072520
📞 8552296460
Mailing address
Po Box 676132
Dallas, TX 752676132
Authorized official
Donald Wayne Anderson
Assistant Secretary Of Enrollments
📞 4253589786
Individual providers at this organization
20 individual providers on file at this primary practice address.
-
Emad Ali, MD
Internal Medicine
NPI 1104251453
-
Charla Allen, M.D.
Family Medicine
NPI 1154688778
-
Sixtus Atabong, PA
Physician Assistant
NPI 1013987155
-
Mohammed Bakdash, M.D.
Internal Medicine
NPI 1629066964
-
Bradley Bale, MD
Family Medicine
NPI 1205912474
-
Judith Boomer, PA
Physician Assistant
NPI 1912960733
-
Hemmo Bosscher, M.D.
Pain Medicine
NPI 1780687517
-
Tammy Brewer
Pharmacist
NPI 1033447941
-
Jared Brinker, MD
Family Medicine
NPI 1053560250
-
Amie Brogden, FNP
Nurse Practitioner
NPI 1922470921
-
Ryan Bullard
Nurse Practitioner
NPI 1588075402
-
Duncan Burkholder, MD
Obstetrics & Gynecology
NPI 1467430405
-
Robert Carr, MD
Orthopaedic Surgery
NPI 1487658977
-
Travis Casler, MD
Orthopaedic Surgery
NPI 1104889948
-
Elizabeth Cobb, M.D.
Internal Medicine
NPI 1629261599
-
Christopher Collins, M.D.
Family Medicine
NPI 1932390960
-
Darlene Cornwell
Nurse Practitioner
NPI 1497094445
-
Cody Cox, M.D.
Radiology
NPI 1538163175
-
Chetlen Crossnoe
Family Medicine
NPI 1538115951
-
Douglas Cummins, M.D.
Surgery
NPI 1518941475
Specialties
-
Clinic/Center
Primary
Definition to come...
taxonomy 261QM1300X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.