| NPI | 1881112027 |
|---|---|
| Doing Business As | SALVE REGINA SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: RI 15220) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2021-12-17 |