| Conciergemed, Pllc | |
|
3200 Troup Hwy Ste 330 Tyler TX 75701-8309 | |
| (903) 372-4112 | |
| (888) 856-4752 |
| Full Name | Conciergemed, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3200 Troup Hwy Ste 330, Tyler, Texas |
| Authorized Official Name and Position | Rendall L Northcutt (OWNER) |
| Authorized Official Contact | 9033724112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conciergemed, Pllc 15180 County Road 1113 Tyler TX 75703-9537 Ph: (903) 372-4112 | Conciergemed, Pllc 3200 Troup Hwy Ste 330 Tyler TX 75701-8309 Ph: (903) 372-4112 |
| NPI Number | 1437983715 |
|---|---|
| Provider Enumeration Date | 08/28/2024 |
| Last Update Date | 08/28/2024 |
| Medicare PECOS PAC ID | 7719404375 |
|---|---|
| Medicare Enrollment ID | O20250507000927 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437983715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Rendall L Northcutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013325638 PECOS PAC ID: 2769602614 Enrollment ID: I20140929000379 |
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