| NPI | 1598284408 |
|---|---|
| Doing Business As | ALBANY STATE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 008291) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |