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NPI Code Detail

MEDICARE: SUPERIOR CHOICE

MEDICARE: SUPERIOR CHOICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1305S00000XPoint of Service

General Provider Information

NPI Number : 1023249034
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUPERIOR CHOICE
Provider Business Mailing Address
First Line : PO BOX 3218
Second Line :
City : HUMBLE
State : TX
Zip : 77347-3218
Country : US
Telephone Number : 281-974-1147
Fax Number :
Provider Business Practice Location Address
First Line : 8213 HOMESTEAD RD
Second Line : SUITE A
City : HOUSTON
State : TX
Zip : 77028-2152
Country : US
Telephone Number : 281-974-1147
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TRINA DEBOSE
Credential :
Telephone Number : 281-974-1147
Provider Enumeration Date : 08/07/2009
Last Update Date : 08/07/2009

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Directions to “SUPERIOR CHOICE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.