# SUPREME MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023573805
- **Authorized official:** BRITTANY GREEN (OWNER)
- **Authorized official phone:** (281) 975-8182

## Contact information

- **Practice address:** 8109 ANTOINE DR, HOUSTON, TX 77088-2801
- **Practice address phone:** (844) 245-8747
- **Practice address fax:** (844) 258-8747
- **Mailing address:** 8109 ANTOINE DR, HOUSTON, TX 77088-2801
- **Mailing address phone:** (346) 804-9291
- **Mailing address fax:** (844) 258-8747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/05/2019
- **Last updated:** 09/03/2026
