Healthcare Provider Details

I. General information

NPI: 1275283210
Provider Name (Legal Business Name): NEXUS HOSPITALISTS GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 06/22/2022
Certification Date: 06/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 VISION PARK BLVD
SHENANDOAH TX
77384-3001
US

IV. Provider business mailing address

1 RIVERWAY STE 700
HOUSTON TX
77056-1988
US

V. Phone/Fax

Practice location:
  • Phone: 713-355-6111
  • Fax: 713-355-6822
Mailing address:
  • Phone: 713-355-6111
  • Fax: 713-355-6822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0301X
TaxonomyBrain Injury Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOHN CASSIDY
Title or Position: M.D./OWNER
Credential: M.D.
Phone: 713-355-6111