MEDICARE: CONCERTO TEXAS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number	:	1295461945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONCERTO TEXAS LLC

Provider Business Mailing Address
First Line	:	4600 W TOUHY AVE
Second Line	:
City	:	LINCOLNWOOD
State	:	IL
Zip	:	60712-1606
Country	:	US
Telephone Number	:	847-443-1228
Fax Number	:	847-443-1328

Provider Business Practice Location Address
First Line	:	16840 BUCCANEER LN STE 115
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2562
Country	:	US
Telephone Number	:	847-443-1228
Fax Number	:	847-443-1328

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. SHIMON MEYSTEL
Credential	:
Telephone Number	:	847-443-1328

Provider Enumeration Date	:	07/26/2022
Last Update Date	:	05/07/2026

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Directions to “CONCERTO TEXAS LLC ” Practice Location

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