| NPI | 1487020640 |
|---|---|
| Former Legal Business Name | NORTHWEST CHRISTIAN UNIVERSITY |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2020-08-12 |