# OUACHITA BAPTIST UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ouachita Baptist University Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821754334
- **Authorized official:** MR. MOUZON BASS III (ADMINISTRATOR/AGENT)
- **Authorized official phone:** (972) 367-4845

## Contact information

- **Practice address:** 410 OUACHITA ST, ARKADELPHIA, AR 71998-0001
- **Practice address phone:** (972) 367-4845
- **Mailing address:** 15305 DALLAS PKWY STE 800, ADDISON, TX 75001-6415
- **Mailing address phone:** (972) 367-4845

## Taxonomy

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

## Other

- **Enumeration date:** 11/10/2021
- **Last updated:** 12/17/2021