Radiant Medical Clinic of East Texas LLC
NPI 1285454009 · Gerontology Nurse Practitioner · Tyler, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Radiant Medical Clinic of East Texas LLC is a Gerontology Nurse Practitioner organization in Tyler, TX (NPI 1285454009).
Provider details
- NPI number
- 1285454009
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Radiant Medical Clinic of East Texas LLC
- Organization subpart
- Yes
- Authorized official
- Doris Udosen, President(903) 343-7480
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Radience Wound Care
Registry dates
- Enumerated
- 2024-10-16
- Last updated
- 2024-10-16
- Certified
- 2024-10-15
Frequently asked questions
- What is Radiant Medical Clinic of East Texas LLC's NPI number?
- Radiant Medical Clinic of East Texas LLC's National Provider Identifier (NPI) is 1285454009, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Radiant Medical Clinic of East Texas LLC?
- Radiant Medical Clinic of East Texas LLC is classified in the NPPES registry as Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Radiant Medical Clinic of East Texas LLC located?
- Radiant Medical Clinic of East Texas LLC's practice location on file with NPPES is 3613 Rock Creek Dr, Tyler, TX 75707-1635.
- What is Radiant Medical Clinic of East Texas LLC's phone number?
- The practice phone number listed in the NPPES registry for Radiant Medical Clinic of East Texas LLC is (903) 343-7480.
- Does Radiant Medical Clinic of East Texas LLC accept Medicare?
- Radiant Medical Clinic of East Texas LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Radiant Medical Clinic of East Texas LLC?
- The authorized official listed on Radiant Medical Clinic of East Texas LLC's NPPES record is Doris Udosen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Radiant Medical Clinic of East Texas LLC's NPI active?
- Yes — Radiant Medical Clinic of East Texas LLC's NPI (1285454009) is active in the NPPES registry as of the last update on 2024-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.