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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 (NURSE PRACTITIONER)
(281) 988-7300
Entity
Organization
Contact information
Practice address
5002 S LAKE HOUSTON PKWY, SUITE 7, HOUSTON, TX 77049-2630
(281) 988-7300
(281) 988-7302
Mailing address
1922 BROWN SCHOOL CT, RICHMOND, TX 77406-6727
(281) 988-7300
(281) 988-7302
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
673649
TX
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/29/2010
Last updated
07/30/2012
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