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Organization
PRESTIGE MD CONCIERGE PLLC
Active
Organization
PRESTIGE MD CONCIERGE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD SAMIULLAH MD (MANAGING PHYSICIAN)
(903) 253-2717
Entity
Organization
Contact information
Practice address
75 MIRANDA LAMBERT WAY STE 19, LINDALE, TX 75771-3107
(786) 708-5509
(903) 202-1314
Mailing address
2812 OAK CREEK BLVD, TYLER, TX 75703-1260
(903) 253-2717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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