Healthcare Provider Details

I. General information

NPI: 1174451728
Provider Name (Legal Business Name): NEXA DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15270 VOSS RD APT 735
SUGAR LAND TX
77498-4780
US

IV. Provider business mailing address

15270 VOSS RD APT 735
SUGAR LAND TX
77498-4780
US

V. Phone/Fax

Practice location:
  • Phone: 606-578-1582
  • Fax:
Mailing address:
  • Phone: 606-578-1582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: SHAISTA MEHMOOD
Title or Position: MANAGER
Credential:
Phone: 606-578-1582