| NPI | 1427501238 |
|---|---|
| Doing Business As | MID-AMERICA NAZARENE UNIVERSITY SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agen 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 04-28344) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |