| NPI | 1851830509 |
|---|---|
| Doing Business As | UNION COLLEGE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 25858) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |