Organization
CONCORD MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JORDAN ANN TUCKETT (EVP OF OPERATIONS)
(972) 829-6610
Entity
Organization
Contact information
Practice address
1602 AVENUE Q, LUBBOCK, TX 79401-4732
(888) 264-0330
(800) 611-5029
Mailing address
PO BOX 3689, DEPARTMENT 257, SUGAR LAND, TX 77487-3310
(888) 264-0330
(800) 611-5029
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200065501
—
TX
Enumeration date
07/15/2006
Last updated
04/30/2026
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