SUPREME WISDOM FAMILY HEALTH CLINIC INC

GRAND PRAIRIE, TX
NPI1801176474
Entity TypeOrganization
Authorized ContactKHALILIAH ALI
President
469-835-3449
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  682811)
Enumeration Date2011-08-26
Last Update Date2011-09-15
Business Address
SUPREME WISDOM FAMILY HEALTH CLINIC INC
455 GOTLAND DR
GRAND PRAIRIE, TX 75052-2570
Phone number: 469-831-3149
Mailing Address
SUPREME WISDOM FAMILY HEALTH CLINIC INC
455 GOTLAND DR
GRAND PRAIRIE, TX 75052-2570
Phone number: 469-831-3149