| NPI | 1164879821 |
|---|---|
| Doing Business As | EMPORIA STATE UNIVERSITY SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-31 |