Provider Demographics
NPI:1194452227
Name:NB MED SERVICES
Entity type:Organization
Organization Name:NB MED SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR /OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IKE
Authorized Official - Middle Name:
Authorized Official - Last Name:GINIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-218-4420
Mailing Address - Street 1:505 E EXCHANGE PKWY APT 8104
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-1760
Mailing Address - Country:US
Mailing Address - Phone:972-807-2010
Mailing Address - Fax:972-807-2010
Practice Address - Street 1:505 E EXCHANGE PKWY APT 8104
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-1760
Practice Address - Country:US
Practice Address - Phone:972-807-2010
Practice Address - Fax:972-807-2010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty