SUPREME CHOICE MED CARE LLC NPI 1821343765

NPI Information

  • NPI: 1821343765
  • Provider Name: SUPREME CHOICE MED CARE LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 5002 S LAKE HOUSTON PKWY STE 7
    HOUSTON, TX
    ZIP 77049
  • Phone: (832) 971-1588

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NPI Details

SUPREME CHOICE MED CARE LLC is a family nurse practitioner in Houston, TX. SUPREME CHOICE MED CARE LLC NPI is 1821343765. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5002 S LAKE HOUSTON PKWY STE 7
HOUSTON, TX
ZIP 77049-631
Phone: (832) 971-1588

The provider's authorized official is Cheryl A Jackson .
The authorized official title is President and has the following contact phone number (832) 971-1588.

The enumeration date for this NPI number is 7/17/2012 and was last updated on 7/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily673649TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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