Organization
CONCIERGE ANCILLARY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TE-JUAN ANDERSON (CEO)
(713) 688-3188
Entity
Organization
Contact information
Practice address
117 HIGHWAY 332 W STE J133, LAKE JACKSON, TX 77566-4023
(713) 688-3188
(346) 226-7036
Mailing address
117 HIGHWAY 332 W STE J133, LAKE JACKSON, TX 77566-4023
(713) 688-3188
Taxonomy
Speciality
Code
Description
License number
State
2080S0012X
Pediatric Sleep Medicine Physician
—
—
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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