Healthcare Provider Details

I. General information

NPI: 1114841202
Provider Name (Legal Business Name): NEXUS DME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N SAM HOUSTON PKWY E STE 125
HOUSTON TX
77032-2969
US

IV. Provider business mailing address

1300 N SAM HOUSTON PKWY E STE 125
HOUSTON TX
77032-2969
US

V. Phone/Fax

Practice location:
  • Phone: 780-123-0123
  • Fax:
Mailing address:
  • Phone: 780-123-0123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MS. MOHINI TALWAR
Title or Position: OWNER
Credential:
Phone: 980-123-0123