MEDICARE: CONCIERGE ANCILLARY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2084D0003X	Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
2	2080S0012X	Pediatric Sleep Medicine Physician
3	332B00000X	Durable Medical Equipment & Medical Supplies
4	261QS1200X	Sleep Disorder Diagnostic Clinic/Center
5	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1093594558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONCIERGE ANCILLARY SERVICES

Provider Business Mailing Address
First Line	:	117 HIGHWAY 332 W STE J133
Second Line	:
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-4023
Country	:	US
Telephone Number	:	713-688-3188
Fax Number	:

Provider Business Practice Location Address
First Line	:	117 HIGHWAY 332 W STE J133
Second Line	:
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-4023
Country	:	US
Telephone Number	:	713-688-3188
Fax Number	:	346-226-7036

Authorized Official
Title or Position	:	CEO
Name	:	TE-JUAN ANDERSON
Credential	:
Telephone Number	:	713-688-3188

Provider Enumeration Date	:	09/25/2023
Last Update Date	:	09/25/2023

Similar Medicare Providers

1073546230 — FOREST HILL NURSING CENTER, INC.
Practice Location Address:

927 COOPER RD
JACKSON, MS
39212-4023

Practice Phone: 601-372-0141
Practice Fax: 601-372-0931

1073389516 — KIARA ALEMAN
Practice Location Address:

544 JACKSON ST
METHUEN, MA
01844-4023

Practice Phone: 857-300-9384
Practice Fax:

1427889286 — LISA LUCARELLI
Practice Location Address:

19 SAWGRASS ST
JACKSON, NJ
08527-4023

Practice Phone: 732-299-1138
Practice Fax:

1114933736 — MRS. KARLA SUE BROCKMAN MSPT
Practice Location Address:

11315 LAKE RD
HIGHLAND, IL
62249-4023

Practice Phone: 618-644-5766
Practice Fax: 618-644-2102

1497835375 — MS. VALERIE KAY LAMBERT L.C.S.W.
Practice Location Address:

900 N TERRACE HILLS DR
SALT LAKE CITY, UT
84103-4023

Practice Phone: 801-533-5632
Practice Fax: 801-257-0528

1669590659 — DR. DANIEL STANFORD POULSON DDS
Practice Location Address:

2180 E 4500 S STE 270
SALT LAKE CITY, UT
84117-4023

Practice Phone: 801-278-8481
Practice Fax: 801-278-3357

Directions to “CONCIERGE ANCILLARY SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.