| NPI | 1609596592 |
|---|---|
| Doing Business As | EWC SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS CEO/Administrator 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |