Organization
NATIONAL PARK COLLEGE
Active
Other names
National Park College Athletics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOUZON BASS III (ADMINISTRATOR/AGENT)
(972) 367-4845
Entity
Organization
Contact information
Practice address
101 COLLEGE DR, HOT SPRINGS NATIONAL PARK, AR 71913-9173
(972) 367-4845
Mailing address
15305 DALLAS PKWY STE 800, ADDISON, TX 75001-6415
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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