| NPI | 1033770680 |
|---|---|
| Doing Business As | MOUNT MERCY SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Administrator/Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-11-13 |