NPIMap

Organization Active NPI

Nexus Physicians Services PLLC

  • Medical Physician Assistant
  • Houston, TX
National Provider Identifier
1669765137
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
NEXUS PHYSICIANS SERVICES PLLC
Practice address
2929 Woodland Park Dr
Houston, TX 77082-2687
Phone
(281) 293-7774
Fax
(713) 355-6822
NPI assigned
May 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deunique Wilson
Title
Practice Administrator
Phone
(616) 325-7879

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

2929 Woodland Park Dr
Houston, TX 77082-2687

Mailing address

PO Box 66
Houston, TX 77001-0066
Phone (713) 589-4122

Other practice location 1

9297 Wahrenberger Rd
Conroe, TX 77304-2441
Phone (713) 589-4122

Other practice location 2

9525 Greenville Ave
Dallas, TX 75243-4116
Phone (945) 258-7900

Other practice location 3

123 Vision Park Blvd
Shenandoah, TX 77384-3001
Phone (281) 364-0317

Other practice location 4

9182 Six Pines Dr
Spring, TX 77380-3606
Phone (713) 482-4900

Other practice location 5

227 Lewis St
San Antonio, TX 78212-5515
Phone (210) 447-1700

Other identifiers 2

IdentifierTypeStateIssuer
310178401MedicaidTX
310178402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120307000116 TX Part B Supplier - Clinic/Group Practice 5294994554 Receives reassigned benefits from 31 practitioners
Practice locations: Dallas, TX; The Woodlands, TX; Shenandoah, TX; San Antonio, TX; Houston, TX; Conroe, TX

National Provider Directory

National Provider Directory

Locations

1 Riverway
Ste 600
Houston, TX 77056
Phone (713) 355-6111

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1669765137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770010066",
            "telephone_number": "713-589-4122",
            "fax_number": "713-583-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 WOODLAND PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822687",
            "telephone_number": "281-293-7774",
            "fax_number": "713-355-6822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9297 Wahrenberger Rd",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042441",
            "country_code": "US",
            "telephone_number": "713-589-4122",
            "fax_number": "713-355-6822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9525 Greenville Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752434116",
            "country_code": "US",
            "telephone_number": "945-258-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Vision Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773843001",
            "country_code": "US",
            "telephone_number": "281-364-0317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9182 Six Pines Dr",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773803606",
            "country_code": "US",
            "telephone_number": "713-482-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 Lewis St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782125515",
            "country_code": "US",
            "telephone_number": "210-447-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEXUS PHYSICIANS SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DEUNIQUE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "616-325-7879"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310178401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310178402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.