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

Radiant Medical Clinic of East Texas LLC

Organization Gerontology Nurse Practitioner · NPI 1285454009

Radiant Medical Clinic of East Texas LLC is a Gerontology Nurse Practitioner in Tyler, Texas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3613 Rock Creek Dr
Tyler, TX 75707-1635
Phone: (903) 343-7480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X

Record details

NPI number1285454009
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRadiant Medical Clinic of East Texas LLC
Authorized official Doris Udosen — President · (903) 343-7480
Other names Radience Wound Care
NPI enumeratedOctober 16, 2024
Last updated in NPPESOctober 16, 2024
Certification dateOctober 15, 2024
Mailing address3613 Rock Creek Dr, Tyler, TX 75707-1635

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