Organization Active NPI

Peace Health Care Services

  • Health Service Clinic/Center
  • Grand Prairie, TX
National Provider Identifier
1578728796
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PEACE HEALTH CARE SERVICES
Practice address
2304 Oak LN
Suite 13
Grand Prairie, TX 75051-8812
Phone
(972) 264-3000
Fax
(972) 264-5700
NPI assigned
Jul 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Elizabeth O Ogungbire, REGISTER NURSES
Title
D, O, N
Phone
(972) 264-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2304 Oak LN
Suite 13
Grand Prairie, TX 75051-8812

Mailing address

2304 Oak LN
Suite 13
Grand Prairie, TX 75051-8812
Phone (972) 264-3000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1578728796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 OAK LN",
            "address_2": "SUITE 13",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750518812",
            "telephone_number": "972-264-3000",
            "fax_number": "972-264-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 OAK LN",
            "address_2": "SUITE 13",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750518812",
            "telephone_number": "972-264-3000",
            "fax_number": "972-264-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "OGUNGBIRE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "D, O, N",
        "authorized_official_telephone_number": "972-264-3000",
        "authorized_official_credential": "REGISTER NURSES"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.