Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Supreme Wisdom Family Health Clinic Inc

Organization Family Nurse Practitioner · NPI 1801176474

Supreme Wisdom Family Health Clinic Inc is a Family Nurse Practitioner 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
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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