PEACE HEALTH AND WELLNESS CLINIC
NPI 1326654393
Clinic/Center - Primary Care in Grand Prairie, TX

Active since September 16, 2020
830 MAYFIELD RD STE 100, GRAND PRAIRIE, TX 75052(469) 999-0009(469) 242-9693 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Peace Health And Wellness Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACE HEALTH AND WELLNESS CLINIC (NPI 1326654393) is a healthcare organization registered as a primary care in Grand Prairie, Texas and active in the NPI registry since September 2020. The organization lists Olubunmi Roseline Awe, Administrator, as its authorized official.

NPPES Registry Identity

NPI1326654393
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePEACE HEALTH AND WELLNESS CLINIC
Location Address830 MAYFIELD RD STE 100Grand Prairie, TX 75052-3728
Mailing Address830 Mayfield Rd Ste 100Grand Prairie, TX 75052-3728 · (469) 999-0009 · Fax (469) 242-9693
Fax(469) 242-9693
Organization SubpartNo
Authorized OfficialOlubunmi Roseline AweAdministrator · (214) 400-2000
Enumeration DateSeptember 16, 2020
NPPES CertifiedSeptember 16, 2020
NPI 1326654393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
830 MAYFIELD RD STE 100, Grand Prairie, TX 75052

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2182621

Peacehealth & Wellness Clinic · Grand Prairie, TX
Expired · Apr 22, 2026
CLIA Number45D2182621
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2024
Certificate Expiration DateApril 22, 2026
Laboratory DirectorOlubunmi Awe
Laboratory Phone(214) 400-2000
Laboratory LocationPeacehealth & Wellness Clinic830 Mayfield Rd Suite 100, Grand Prairie, TX 75052
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326654393, enumerated as an "organization" on September 16, 2020.

The provider is located at 830 MAYFIELD RD STE 100 GRAND PRAIRIE, TX 75052 and the phone number is (469) 999-0009.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.