Healthcare Provider Details
I. General information
NPI: 1609452523
Provider Name (Legal Business Name): NEXUS HEALTH SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/22/2021
Last Update Date: 10/31/2023
Certification Date: 10/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2720 E YANDELL DR STE 104
EL PASO TX
79903-3751
US
IV. Provider business mailing address
7216 DALE RD APT 1
EL PASO TX
79915-2430
US
V. Phone/Fax
- Phone: 915-731-4050
- Fax:
- Phone: 915-731-4050
- Fax: 915-206-2558
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083P0901X |
| Taxonomy | Public Health & General Preventive Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 247ZC0005X |
| Taxonomy | Clinical Laboratory Director (Non-physician) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAIME
ARRIOLA
JR.
Title or Position: OWNER
Credential:
Phone: 915-731-4050