| NPI | 1720435308 |
|---|---|
| Doing Business As | TEXAS SOUTHERN UNIVERSITY SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX N3308) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |