| NPI | 1376910653 |
|---|---|
| Doing Business As | UTC SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |