NPI | 1689296360 |
---|---|
Doing Business As | LUCS SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | MOUZON BASS Administrator/Agent 972-367-4845 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
Enumeration Date | 2020-05-15 |
Last Update Date | 2020-05-15 |