institution
Supreme Wisdom Family Health Clinic Inc
Family Nurse Practitioner in Grand Prairie, Texas
NPI 1801176474

Supreme Wisdom Family Health Clinic Inc is a Family Nurse Practitioner based in Grand Prairie, TX and is specialized in Family. Supreme Wisdom Family Health Clinic Inc practices in Grand Prairie, TX. The NPI Number for Supreme Wisdom Family Health Clinic Inc is 1801176474 and holds a License No. 682811 (Texas).

The current practice location address for Supreme Wisdom Family Health Clinic Inc is 455 Gotland Dr, Grand Prairie, TX and can be reached out via phone at 469-831-3149.

Location: 455 Gotland Dr, Grand Prairie, TX, 75052-2570
institution
Provider Profile Details
NPI Number
1801176474
Provider Name
Supreme Wisdom Family Health Clinic Inc
Credential
Provider Entity Type
Organization
Address
455 Gotland Dr, Grand Prairie, TX, 75052-2570
Phone Number
469-831-3149
Fax Number
Provider Enumeration Date
08/26/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
455 Gotland Dr
City
State
Zip
75052-2570
Phone Number
469-831-3149
Fax Number
person
Provider Business Mailing Address Details
Address
455 Gotland Dr
City
State
Zip
75052-2570
Phone Number
469-831-3149
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
682811 (Texas)
Definition
Definition to come...
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