| NPI | 1285118174 |
|---|---|
| Doing Business As | OKCU SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Administrator/Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2021-12-17 |