Provider Demographics
NPI:1427825447
Name:SUPERIOR HEALTH LLC
Entity type:Organization
Organization Name:SUPERIOR HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TANGKO
Authorized Official - Middle Name:EMMANUEL
Authorized Official - Last Name:TANGKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-595-5190
Mailing Address - Street 1:6500 EXCELLENCE WAY APT 3076
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-1267
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6500 EXCELLENCE WAY APT 3076
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-1267
Practice Address - Country:US
Practice Address - Phone:469-988-7719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251J00000XAgenciesNursing Care