Healthcare Provider Details

I. General information

NPI: 1174449896
Provider Name (Legal Business Name): NEXUS MIND & MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3925 S PRESTON RD APT 106
CELINA TX
75009-6759
US

IV. Provider business mailing address

3925 S PRESTON RD APT 106
CELINA TX
75009-6759
US

V. Phone/Fax

Practice location:
  • Phone: 646-261-6656
  • Fax:
Mailing address:
  • Phone: 646-261-6656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHARLOTTE FATIREGUN
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 646-261-6656