Organization
GRACE AMBULATORY SURGERY CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANA B. RAINS (COO)
(806) 740-3342
Entity
Organization
Contact information
Practice address
4515 MARSHA SHARP FWY, SUITE B, LUBBOCK, TX 79407-2520
(806) 740-8223
Mailing address
4515 MARSHA SHARP FWY, SUITE B, LUBBOCK, TX 79407-2520
(806) 740-8223
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
TX
Other
Enumeration date
07/06/2006
Last updated
07/10/2007
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