Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace Clinic Imaging Department

Organization Diagnostic Radiology Physician · NPI 1558523357

Grace Clinic Imaging Department is a Diagnostic Radiology Physician in Lubbock, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008

Practice location Address checks out

4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Phone: (806) 744-7223
Fax: (806) 740-3325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence R30682 (TX)

Record details

NPI number1558523357
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGrace Clinic
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
NPI enumeratedJuly 2, 2008
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 676132, Dallas, TX 75267-6132

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