MEDICARE: NEXUS BEHAVIORAL CARE PA

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1629831946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXUS BEHAVIORAL CARE PA

Provider Business Mailing Address
First Line	:	11455 FALLBROOK DR STE 302
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77065-4268
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11455 FALLBROOK DR STE 302
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77065-4268
Country	:	US
Telephone Number	:	832-422-7777
Fax Number	:

Authorized Official
Title or Position	:	OWNER, AUTHORIZED OFFICIAL
Name	:	GURTEJ MANN
Credential	:	MD
Telephone Number	:	832-422-7777

Provider Enumeration Date	:	01/31/2024
Last Update Date	:	01/31/2024

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Directions to “NEXUS BEHAVIORAL CARE PA ” Practice Location

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