MEDICARE: CONCORD LIFE SCIENCES, 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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1558717827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONCORD LIFE SCIENCES, LLC

Provider Business Mailing Address
First Line	:	2437 BAY AREA BLVD # 504
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-1519
Country	:	US
Telephone Number	:	888-932-0990
Fax Number	:	281-949-8599

Provider Business Practice Location Address
First Line	:	16840 BUCCANEER LN STE 281
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2562
Country	:	US
Telephone Number	:	888-932-0990
Fax Number	:	281-949-8599

Authorized Official
Title or Position	:	CFO
Name	:	CHRISTOPHER LIGHT
Credential	:
Telephone Number	:	800-837-8160

Provider Enumeration Date	:	05/05/2016
Last Update Date	:	06/18/2025

Similar Medicare Providers

1295461945 — CONCERTO TEXAS LLC
Practice Location Address:

16840 BUCCANEER LN STE 115
HOUSTON, TX
77058-2562

Practice Phone: 847-443-1228
Practice Fax: 847-443-1328

1306880166 — NORTH HOME HEALTHCARE, LLC
Practice Location Address:

11160 DOVER ST STE A1
HOUSTON, TX
77031-2562

Practice Phone: 281-565-6525
Practice Fax: 281-565-6520

1215376827 — RACHEL SPARKS NP INC
Practice Location Address:

2118 MIDNIGHT LN
HOUSTON, TX
77047-2562

Practice Phone: 832-603-0018
Practice Fax:

1902424518 — MEDKARE
Practice Location Address:

2426 LAKE KOLBE LN
HOUSTON, TX
77080-2562

Practice Phone: 713-818-8982
Practice Fax:

1770358079 — DIVINE FAVOR TRANSITIONAL LIVING FACILITY
Practice Location Address:

16714 SIDONIE DR
HOUSTON, TX
77053-2562

Practice Phone: 832-338-6350
Practice Fax: 833-241-7558

1902146400 — MRS. TRACY DIANE KELLER SLP
Practice Location Address:

17045 EL CAMINO REAL STE 106
HOUSTON, TX
77058-2623

Practice Phone: 281-480-5648
Practice Fax: 281-480-5691

Directions to “CONCORD LIFE SCIENCES, LLC ” 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.