Provider Demographics
NPI:1033373402
Name:EHIGITOR, PEACE U
Entity Type:Individual
Prefix:
First Name:PEACE
Middle Name:U
Last Name:EHIGITOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 E OATES RD
Mailing Address - Street 2:#102
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-3487
Mailing Address - Country:US
Mailing Address - Phone:214-440-8508
Mailing Address - Fax:469-298-0782
Practice Address - Street 1:262 E OATES RD
Practice Address - Street 2:#102
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-3487
Practice Address - Country:US
Practice Address - Phone:214-440-8508
Practice Address - Fax:469-298-0782
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator