Provider Demographics
NPI:1912586579
Name:NEXUS PAIN CARE PLLC
Entity Type:Organization
Organization Name:NEXUS PAIN CARE PLLC
Other - Org Name:NEXUS PAIN CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PAIN MANAGEMENT PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:BASEM
Authorized Official - Last Name:ABDEL RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-513-3409
Mailing Address - Street 1:1160 HORIZON RD
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-5498
Mailing Address - Country:US
Mailing Address - Phone:972-498-1100
Mailing Address - Fax:972-498-1300
Practice Address - Street 1:1160 HORIZON RD
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-5498
Practice Address - Country:US
Practice Address - Phone:972-498-1100
Practice Address - Fax:972-498-1300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-02
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1316972698OtherNPI