MEDICARE: NEXUS MED INC

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	3336C0003X	Community/Retail Pharmacy	26935	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2125362	OTHER		PK

General Provider Information

NPI Number	:	1679893119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXUS MED INC

Provider Business Mailing Address
First Line	:	3828 HUGHES CT STE 101
Second Line	:
City	:	DICKINSON
State	:	TX
Zip	:	77539-6235
Country	:	US
Telephone Number	:	281-484-0022
Fax Number	:	281-484-0033

Provider Business Practice Location Address
First Line	:	3828 HUGHES CT STE 101
Second Line	:
City	:	DICKINSON
State	:	TX
Zip	:	77539-6235
Country	:	US
Telephone Number	:	713-691-8585
Fax Number	:	713-691-8484

Authorized Official
Title or Position	:	PHARMACIST-IN-CHARGE
Name	:	CHARLES BERCE
Credential	:
Telephone Number	:	281-484-0022

Provider Enumeration Date	:	06/07/2010
Last Update Date	:	09/20/2021

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Directions to “NEXUS MED INC ” Practice Location

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