Organization
CONCIERGEMED, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENDALL L NORTHCUTT FNP-C (OWNER)
(903) 372-4112
Entity
Organization
Contact information
Practice address
3200 TROUP HWY STE 330, TYLER, TX 75701-8309
(903) 372-4112
(888) 856-4752
Mailing address
15180 COUNTY ROAD 1113, TYLER, TX 75703-9537
(903) 372-4112
(888) 856-4752
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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