MEDICARE: BEXMED PROVIDERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	007913	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001004797	OTHER	TX	PRIMARY HOME CARE

General Provider Information

NPI Number	:	1326267071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEXMED PROVIDERS

Provider Business Mailing Address
First Line	:	6430 RICHMOND AVE STE 250-12
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-5918
Country	:	US
Telephone Number	:	832-251-1700
Fax Number	:	832-251-1701

Provider Business Practice Location Address
First Line	:	10555 TURTLEWOOD CT UNIT 3011
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-2730
Country	:	US
Telephone Number	:	832-251-1700
Fax Number	:	832-251-1701

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. PATRICK NICHOLAS OKONKWO
Credential	:	BS
Telephone Number	:	832-251-1700

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	01/27/2014

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Directions to “BEXMED PROVIDERS ” Practice Location

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