# SOUTHERN VIRGINIA UNIVERSITY

> 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:** SVU Student Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528654159
- **Authorized official:** MOUZON BASS III (ADMINISTRATOR/AGENT)
- **Authorized official phone:** (972) 367-4845

## Contact information

- **Practice address:** 1 UNIVERSITY HILL DR, BUENA VISTA, VA 24416-3038
- **Practice address phone:** (540) 261-8414
- **Mailing address:** 15305 DALLAS PKWY STE 800, ADDISON, TX 75001-6415
- **Mailing address phone:** (972) 367-4845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0201X | Pediatric Allergy/Immunology Physician | — | NULL | Yes |
| 2080P0201X | Pediatric Allergy/Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2020
- **Last updated:** 12/17/2021