# VARSITY HEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** VARSITY HEALTH TAF001
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164193975
- **Authorized official:** MR. MOUZON BASS III (ADMINISTRATOR/AGENT)
- **Authorized official phone:** (972) 367-4845

## Contact information

- **Practice address:** 13009 S PARKER RD \# 319, PARKER, CO 80134-3449
- **Practice address phone:** (972) 367-4845
- **Mailing address:** 5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
- **Mailing address phone:** (972) 367-4845
- **Mailing address fax:** (972) 367-3451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2021
- **Last updated:** 09/22/2021