Concierge Ancillary Services

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CONCIERGE ANCILLARY SERVICES

Practice address

117 Highway 332 W Ste J133
Lake Jackson, TX 77566-4023

Phone

(713) 688-3188

Fax

(346) 226-7036

NPI assigned

Sep 25, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Te-Juan Anderson

Title

Ceo

Phone

(713) 688-3188

Specialties & licenses 5

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1093594558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 HIGHWAY 332 W STE J133",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664023",
            "telephone_number": "713-688-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HIGHWAY 332 W STE J133",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664023",
            "telephone_number": "713-688-3188",
            "fax_number": "346-226-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE ANCILLARY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TE-JUAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-688-3188"
    },
    "taxonomies": [
        {
            "code": "2080S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084D0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billy Bob Coburn, DC
• John Derek Cogdill, OT
• Kalyn Michelle Collard, MD
• Macie Bailey Collier
• Community Hospital of Brazosport
• Marla R Cook, OTR
• Jennifer A Cooper, LMSW
• John A Corbett, D.D.S., M.S.
• Core Physical Therapy, PLLC
• Cornerstone Caregiving West LLC

• Health Service Clinic/Center in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.