Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Radiant Medical Clinic of East Texas LLC

Organization Gerontology Nurse Practitioner · NPI 1285454009

Radiant Medical Clinic of East Texas LLC provides Gerontology Nurse Practitioner services 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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