Organization
SUPREME CARE PHYSICIAN GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEEGAN MASSEY MD (OWNER)
(832) 917-0913
Entity
Organization
Contact information
Practice address
9530 JONES RD, HOUSTON, TX 77065-4411
(832) 917-0913
Mailing address
PO BOX 650998, DALLAS, TX 75265-0998
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
08/30/2021
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