David Keith Hagstrom
GRACE CLINIC OF LUBBOCK


Address: 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520
Phone: 8067447223

David Keith Hagstrom (NPI# 1154493997, PAC ID# 0345299525) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.

Physician Overview

Nation Provider ID (NPI) 1154493997
PAC ID by PECOS 0345299525
Professional Enrollment ID I20050113001160
Full Name David Keith Hagstrom
Organization Legal Name GRACE CLINIC OF LUBBOCK
Address 4515 Marsha Sharp Fwy
Lubbock
TX 79407-2520
Phone Number 8067447223
Gender M
Credential MD
Medical School UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 1983
Primary Specialty PAIN MANAGEMENT
Secondary Specialties ANESTHESIOLOGY
Group Practice PAC ID 5597768101
Number of Group Practice Members 77
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450162 GRACE MEDICAL CENTER

Other Locations

Address Phone Organization
3505 22nd Pl, Lubbock, TX 79410-1315 8067855700 GRACE CLINIC OF LUBBOCK
4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 8067447223 GRACE CLINIC OF LUBBOCK

Organization Information

Organization Legal Name GRACE CLINIC OF LUBBOCK
Physicians 78

Physicians with the same organization

Name Specialty Organization Address
Kayleigh Mccarrell Certified Registered Nurse Anesthetist (crna) Grace Clinic of Lubbock 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520
Ramakrishnan Ranganath Interventional Cardiology Grace Clinic of Lubbock 2412 50th St, Lubbock, TX 79412-2504
Kathleen K Sears Obstetrics/gynecology Grace Clinic of Lubbock 3711 20th St, Suite A, Lubbock, TX 79410-1223
Bhupesh H Dihenia Neurology Grace Clinic of Lubbock 3815 23rd St, Lubbock, TX 79410-1809
Hemmo A Bosscher Interventional Pain Management Grace Clinic of Lubbock 3505 22nd Pl, Lubbock, TX 79410-1315
Bertrand Bodo Nurse Practitioner Grace Clinic of Lubbock 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520
Sixtus Z Atabong Physician Assistant Grace Clinic of Lubbock 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520
Roberta Beals Family Medicine Grace Clinic of Lubbock 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520
Benjamin Lloyd Fluhman Podiatry Grace Clinic of Lubbock 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520
Howard Hurd Ii Internal Medicine Grace Clinic of Lubbock 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520

Office Location

Street Address 4515 MARSHA SHARP FWY
City LUBBOCK
State TX
Zip 79407-2520

Physicians in the same location

Name Specialty Organization Address
Kayleigh Mccarrell Certified Registered Nurse Anesthetist (crna) Grace Clinic of Lubbock 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520
Bertrand Bodo Nurse Practitioner Grace Clinic of Lubbock 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520
Sixtus Z Atabong Physician Assistant Grace Clinic of Lubbock 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520
Roberta Beals Family Medicine Grace Clinic of Lubbock 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520
Benjamin Lloyd Fluhman Podiatry Grace Clinic of Lubbock 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520
Howard Hurd Ii Internal Medicine Grace Clinic of Lubbock 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520
Richard George Neurosurgery Grace Clinic of Lubbock 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520
Brent B Nall Obstetrics/gynecology Grace Clinic of Lubbock 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520
Jared Z Brinker Family Medicine Grace Clinic of Lubbock 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520
Joshua C Demke Otolaryngology Texas Tech University Health Sciences Center Lubbock 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Gisela M Mueller Physical Therapy 1901 W Loop, Lubbock, TX 79407-1725
Robert J Mamlok Allergy/immunology 5424 19th St, Suite 300, Lubbock, TX 79407-2164
Nicole Brints-viner Physical Therapy Physical Therapy Today of Lubbock Lp 4138 19th St, Lubbock, TX 79407-2403
Derek Young Physical Therapy Physical Therapy Today of Lubbock Lp 4138 19th St, Lubbock, TX 79407-2403
Kathryn Curry Physical Therapy Physical Therapy Today of Lubbock Lp 4138 19th St, Lubbock, TX 79407-2403
Shonda Marie Rowell-hazel Physical Therapy Physical Therapy Today of Lubbock Lp 4138 19th St, Lubbock, TX 79407-2403
Ryan T Schwalk Physical Therapy Physical Therapy Today of Lubbock Lp 4138 19th St, Lubbock, TX 79407-2403
Jordan Fultz Physical Therapy Physical Therapy Today of Lubbock Lp 4138 19th St, Lubbock, TX 79407-2403
Landon Harris Nauert Physical Therapy Physical Therapy Today of Lubbock Lp 4138 19th St, Lubbock, TX 79407-2403
Justin Ryan Smallwood Physical Therapy Physical Therapy Today of Lubbock Lp 4138 19th St, Lubbock, TX 79407-2403
Find all physicians in zip 79407

Competitor

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City LUBBOCK
Zip Code 79407
Specialty PAIN MANAGEMENT
City + Specialty LUBBOCK + PAIN MANAGEMENT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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