Organization
REGIONAL UNIVERSITY SYSTEM OF OKLAHOMA
Active
Other names
SEOSU Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MUZON BASS III (ADMINISTRATOR)
(972) 367-4845
Entity
Organization
Contact information
Practice address
425 W UNIVERSITY BLVD, DURANT, OK 74701-3347
(972) 367-4845
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
(972) 367-4845
(972) 367-3451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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