| NPI | 1871964122 |
|---|---|
| Doing Business As | UNIVERSITY OF DALLAS SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |