Organization
GRACE CLINIC OF LUBBOCK
Active
Other names
EXPRESSCARE VIRTUAL
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
4515 MARSHA SHARP FWY, LUBBOCK, TX 79407-2520
(855) 229-6460
Mailing address
PO BOX 676132, DALLAS, TX 75267-6132
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
05/06/2025
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