Concierge Medical Consultants, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CONCIERGE MEDICAL CONSULTANTS, LLC

Practice address

12 Katie LN
Trophy Club, TX 76262-5549

Phone

(817) 490-9841

Fax

(817) 490-0920

NPI assigned

Apr 12, 2012

Organization subpart

No

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

Authorized official

Name

Jonathan R Matthews, DO

Title

Managing Member

Phone

(817) 490-9841

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1679830848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 KATIE LN",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625549",
            "telephone_number": "817-490-9841",
            "fax_number": "817-490-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 KATIE LN",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625549",
            "telephone_number": "817-490-9841",
            "fax_number": "817-490-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE MEDICAL CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-490-9841",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolieann Michelle Byrd, DPT
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• Stephanie Garland Clavenna, MA, LMFT
• Clinical Nephrology Associates, PA
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• Kayley Danielle Cowin, DPT
• Daniel Crawford
• Crescent Direct Primary Care PLLC
• Margaret Cressionnie

• Internal Medicine Physician in Trophy Club, TX
• Providers in Trophy Club, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.