| NPI | 1245745074 |
|---|---|
| Doing Business As | GRAND VIEW SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IA MD-37318) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |