MEDICARE: PEACE ON PURPOSE PLLC

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1841975265
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEACE ON PURPOSE PLLC

Provider Business Mailing Address
First Line	:	PO BOX 22273
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77227-2273
Country	:	US
Telephone Number	:	346-814-4811
Fax Number	:

Provider Business Practice Location Address
First Line	:	712 WILCREST DR # 2082
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-1348
Country	:	US
Telephone Number	:	346-814-4811
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAMIYYAH SABUR
Credential	:
Telephone Number	:	346-814-4811

Provider Enumeration Date	:	06/21/2023
Last Update Date	:	06/23/2023

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Directions to “PEACE ON PURPOSE PLLC ” Practice Location

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