| NPI | 1952842775 |
|---|---|
| Doing Business As | CENTRAL METHODIST UNIVERSITY HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |