Supreme Care Physician Group PLLC

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

Legal business name

SUPREME CARE PHYSICIAN GROUP PLLC

Practice address

9530 Jones Rd
Houston, TX 77065-4411

Phone

(832) 917-0913

NPI assigned

May 12, 2021

Last updated

Aug 30, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Keegan Massey, MD

Title

Owner

Phone

(832) 917-0913

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1609450865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650998",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9530 JONES RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654411",
            "telephone_number": "832-917-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME CARE PHYSICIAN GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "KEEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-917-0913",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medical Services (Emergency Medicine) Physician in Houston, TX
• Providers in Houston, TX by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.