Healthcare Provider Details

I. General information

NPI: 1326267071
Provider Name (Legal Business Name): BEXMED PROVIDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 01/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10555 TURTLEWOOD CT UNIT 3011
HOUSTON TX
77072-2730
US

IV. Provider business mailing address

6430 RICHMOND AVE STE 250-12
HOUSTON TX
77057-5918
US

V. Phone/Fax

Practice location:
  • Phone: 832-251-1700
  • Fax: 832-251-1701
Mailing address:
  • Phone: 832-251-1700
  • Fax: 832-251-1701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number007913
License Number StateTX

VIII. Authorized Official

Name: MR. PATRICK NICHOLAS OKONKWO
Title or Position: ADMINISTRATOR
Credential: BS
Phone: 832-251-1700