Provider Demographics
NPI:1255398384
Name:NEB-MEDS INC
Entity type:Organization
Organization Name:NEB-MEDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:KEENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-832-3708
Mailing Address - Street 1:PO BOX 20993
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77720-0993
Mailing Address - Country:US
Mailing Address - Phone:409-832-3708
Mailing Address - Fax:409-832-6522
Practice Address - Street 1:44 NORTH 11TH STREET
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-2225
Practice Address - Country:US
Practice Address - Phone:409-832-3708
Practice Address - Fax:409-835-6522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX516301OtherBLUE CROSS BLUE SHIELD
TX016212501Medicaid
TX016212501Medicaid