| NPI | 1275056400 |
|---|---|
| Doing Business As | BENEDICTINE COLLEGE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: KS 04-29855) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-07-21 |