P Praxis·MD
● Active Type 2 · Organization

Supreme Wisdom Family Health Clinic Inc

Nurse Practitioner·Grand Prairie, TX· NPI 1801176474 · Enumerated 2011 · 14 years on NPI
Supreme Wisdom Family Health Clinic Inc is 1 of 22123 nurse practitioner organizations in Texas.
NPI age
14 years
Enumerated 2011-08-26
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ali
President
Last NPPES update
2011-09-15
Source: monthly bulk 2026-05

How this organization compares

Across 22123 active nurse practitioner providers in Texas.

NPI age
14 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-08Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
455 Gotland Dr
Grand Prairie, TX 750522570
📞 4698313149
Mailing address
455 Gotland Dr
Grand Prairie, TX 750522570
📞 4698313149

Authorized official

Khaliliah Ali, FNP-C, APRN, BC
President
📞 4698353449

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #682811 taxonomy 363LF0000X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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