NPI age
1 years
Enumerated 2024-10-16
● Active Type 2 · Organization
Subpart
Radiant Medical Clinic Of East Texas Llc
Radiant Medical Clinic Of East Texas Llc is 1 of 1011 nurse practitioner organizations in Texas.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Udosen
President
Last NPPES update
2024-10-16
Source: monthly bulk 2026-05
How this organization compares
Across 1011 active nurse practitioner providers in Texas.
NPI age
1 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-10Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
3613 Rock Creek Dr
Tyler, TX 757071635
Mailing address
3613 Rock Creek Dr
Tyler, TX 757071635
Authorized official
Doris Udosen, APRN
President
📞 9033437480
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Radience Wound Care
Practice context
Single-site organization. Only one practice location on file.
Subpart of Radiant Medical Clinic Of East Texas Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.