Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Supreme Wisdom Family Health Clinic Inc

Organization Family Nurse Practitioner · NPI 1801176474

Supreme Wisdom Family Health Clinic Inc provides Family Nurse Practitioner services in Grand Prairie, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

455 Gotland Dr
Grand Prairie, TX 75052-2570 Not confirmed with CMS for 15 years — call before visiting
Phone: (469) 831-3149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 682811 (TX)

Record details

NPI number1801176474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khaliliah Ali — President · (469) 835-3449
NPI enumeratedAugust 26, 2011
Last updated in NPPESSeptember 15, 2011
Mailing address455 Gotland Dr, Grand Prairie, TX 75052-2570

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