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Organization
UNIVERSITY OF HOUSTON
Active
Organization
UNIVERSITY OF HOUSTON
Active
Other names
University of Houston Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MOUZON BASS III (AGENT)
(972) 367-4845
Entity
Organization
Contact information
Practice address
3100 CULLEN BLVD, HOUSTON, TX 77204-6099
(713) 743-9422
(972) 367-3451
Mailing address
PO BOX 650850, DALLAS, TX 75265-0850
(800) 555-9073
(972) 367-3452
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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