Provider Demographics
NPI:1679893119
Name:NEXUS MED INC
Entity type:Organization
Organization Name:NEXUS MED INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:BERCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-484-0022
Mailing Address - Street 1:3828 HUGHES CT STE 101
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-6235
Mailing Address - Country:US
Mailing Address - Phone:281-484-0022
Mailing Address - Fax:281-484-0033
Practice Address - Street 1:3828 HUGHES CT STE 101
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-6235
Practice Address - Country:US
Practice Address - Phone:713-691-8585
Practice Address - Fax:713-691-8484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX269353336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2125362OtherPK