| NPI | 1689177099 |
|---|---|
| Doing Business As | ST. THOMAS SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Administrator 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |