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Organization
SUPREME CHOICE MED CARE LLC
Active
Organization
SUPREME CHOICE MED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL A JACKSON FNP-BC (PRESIDENT)
(832) 971-1588
Entity
Organization
Contact information
Practice address
5002 S LAKE HOUSTON PKWY STE 7, HOUSTON, TX 77049-2631
(832) 971-1588
Mailing address
1922 BROWN SCHOOL CT, RICHMOND, TX 77406-6727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
673649
TX
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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