1. Home
  2. Directory
  3. Texas
  4. Forney
  5. Physician Assistant
  6. NPI Profile

SUPERIOR GRACE ENTERPRISE LLC
NPI 1124552864
Physician Assistant - Surgical in Forney, TX

Active since April 19, 2017
2005 BISHOP DR, FORNEY, TX 75126(214) 886-9766 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Superior Grace Enterprise Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPERIOR GRACE ENTERPRISE LLC (NPI 1124552864) is a healthcare organization registered as a surgical in Forney, Texas and active in the NPI registry since April 2017. The organization lists Sarah Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1124552864
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameSUPERIOR GRACE ENTERPRISE LLC
Location Address2005 BISHOP DRForney, TX 75126-4058
Mailing Address2005 Bishop DrForney, TX 75126-4058 · (214) 886-9766
Phone(214) 886-9766
Organization SubpartNo
Authorized OfficialSarah MooreOwner · (214) 886-9766
Enumeration DateApril 19, 2017
✔ NPI 1124552864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TX · SA00597
2005 BISHOP DR, Forney, TX 75126
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH MOORE LSA
Physician Assistant (Surgical)
2005 BISHOP DR
FORNEY, TX 75126
Kaufman County (214) 886-9766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Superior Grace Enterprise LLC's NPI number?

The NPI number for Superior Grace Enterprise LLC is 1124552864. It was assigned to this organization in the NPPES registry on April 19, 2017.

Where is Superior Grace Enterprise LLC located?

Superior Grace Enterprise LLC is located at 2005 Bishop Dr, Forney, TX 75126. The listed phone number is (214) 886-9766.

What is Superior Grace Enterprise LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Superior Grace Enterprise LLC was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.