| NPI | 1841794682 |
|---|---|
| Doing Business As | EWC SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |