Organization
KANSAS WESLEYAN UNIVERSITY
Active
Other names
Kansas Wesleyan University Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MOUZON BASS III (AGEN)
(972) 367-4845
Entity
Organization
Contact information
Practice address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3909
(972) 367-4845
Mailing address
100 E. CLAFLIN AVE, SALINA, KS 67401-6196
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
04-17244
KS
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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