Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Concord Medical Group PLLC

Organization Emergency Medicine Physician · NPI 1083630610

Concord Medical Group PLLC is an Emergency Medicine Physician in Lubbock, Texas. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1602 Avenue Q
Lubbock, TX 79401-4732
Phone: (888) 264-0330
Fax: (800) 611-5029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1083630610
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jordan Tuckett — Evp Of Operations · (972) 829-6610
NPI enumeratedJuly 15, 2006
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026
Mailing addressPo Box 3689, Department 257, Sugar Land, TX 77487-3310

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