Organization
SUPERIOR CHOICE MEDICAL SERVICES INC.
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY MACFARLANE (CEO)
(310) 482-0084
Entity
Organization
Contact information
Practice address
11000 S WILCREST DR, STE 130, HOUSTON, TX 77099-4355
(832) 230-0078
(832) 201-7712
Mailing address
11000 S WILCREST DR, STE 130, HOUSTON, TX 77099-4355
(832) 230-0078
(832) 201-7712
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
833A
MEDICARE PART A/B AND MEDICIAD
TX
Enumeration date
10/06/2011
Last updated
06/18/2012
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