Provider Demographics
NPI:1790370054
Name:PEACE HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:PEACE HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-429-0943
Mailing Address - Street 1:3934 FM 1960 RD W STE 370
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3545
Mailing Address - Country:US
Mailing Address - Phone:713-429-0943
Mailing Address - Fax:713-429-0750
Practice Address - Street 1:3934 FM 1960 RD W STE 370
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3545
Practice Address - Country:US
Practice Address - Phone:713-429-0943
Practice Address - Fax:713-429-0750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health