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General NPI Number Information
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NPI Number | 1669765137
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Entity Type | Organization
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Legal Business Name | NEXUS PHYSICIANS SERVICES PLLC
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Dates
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Enumeration Date | 05/17/2011
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 2929 WOODLAND PARK DR
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City | HOUSTON
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State | TX
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Zip | 77082-2687
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Country | US
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Telephone | 281-293-7774
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Fax | 713-355-6822
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Provider Business Mailing Address
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Address Line | PO BOX 66
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City | HOUSTON
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State | TX
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Zip | 77001-0066
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Country | US
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Telephone | 713-589-4122
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Fax | 713-583-5185
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | DEUNIQUE WILSON
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Credential |
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Telephone | 616-325-7879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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