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NPI Code Detail

MEDICARE: SUPREME HOUSE CALLS PLLC

MEDICARE: SUPREME HOUSE CALLS PLLC
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
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1871426304
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUPREME HOUSE CALLS PLLC
Provider Business Mailing Address
First Line : 117 LANTANA LN
Second Line :
City : WYLIE
State : TX
Zip : 75098-4636
Country : US
Telephone Number : 972-327-3117
Fax Number : 972-532-8966
Provider Business Practice Location Address
First Line : 117 LANTANA LN
Second Line :
City : WYLIE
State : TX
Zip : 75098-4636
Country : US
Telephone Number : 972-327-3117
Fax Number : 972-532-8966
Authorized Official
Title or Position : FNPC/OWNER
Name : ANN AGBOR
Credential : NP
Telephone Number : 972-327-3117
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “SUPREME HOUSE CALLS PLLC ” Practice Location

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