Organization Active NPI

The Grace Clinic

  • Clinic/Center
  • Longview, TX
National Provider Identifier
1225996754
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE GRACE CLINIC
Practice address
506 N 2ND St
Longview, TX 75601-6438
Phone
(903) 921-9221
Fax
(903) 234-1290
NPI assigned
Jan 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Glenn Abe McDonald, MD
Title
Director
Phone
(903) 806-6477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

506 N 2ND St
Longview, TX 75601-6438

Mailing address

PO Box 5786
Longview, TX 75608-5786
Phone (903) 921-9221

Other names 1

  • The Newgate Clinic Former legal business name

National Provider Directory

National Provider Directory

Locations

506 N 2nd St
Longview, TX 75601
Phone (903) 921-9221

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1225996754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5786",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756085786",
            "telephone_number": "903-921-9221",
            "fax_number": "903-234-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N 2ND ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016438",
            "telephone_number": "903-921-9221",
            "fax_number": "903-234-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GRACE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ABE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "903-806-6477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Newgate Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.