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Organization
OUACHITA BAPTIST UNIVERSITY
Active
Organization
OUACHITA BAPTIST UNIVERSITY
Active
Other names
Ouachita Baptist University Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOUZON BASS III (ADMINISTRATOR/AGENT)
(972) 367-4845
Entity
Organization
Contact information
Practice address
410 OUACHITA ST, ARKADELPHIA, AR 71998-0001
(972) 367-4845
Mailing address
15305 DALLAS PKWY STE 800, ADDISON, TX 75001-6415
(972) 367-4845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
12/17/2021
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