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NPI Code Detail

MEDICARE: PEACE BRIDGE HEALTHCARE INC

MEDICARE: PEACE BRIDGE HEALTHCARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1144170911
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEACE BRIDGE HEALTHCARE INC
Provider Business Mailing Address
First Line : 3129 KINGSLEY DR STE 1050A
Second Line :
City : PEARLAND
State : TX
Zip : 77584-8509
Country : US
Telephone Number : 877-657-3223
Fax Number : 877-657-3223
Provider Business Practice Location Address
First Line : 3129 KINGSLEY DR STE 1050A
Second Line :
City : PEARLAND
State : TX
Zip : 77584-8509
Country : US
Telephone Number : 877-657-3223
Fax Number : 877-657-3223
Authorized Official
Title or Position : ADMINISTRATOR
Name : KADOUA F NACRO
Credential : RN
Telephone Number : 737-932-0552
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “PEACE BRIDGE HEALTHCARE INC ” Practice Location

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