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 |