Organization
HOWARD UNIVERSITY
Active
Other names
Howard Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MOUZON BASS III (ADMINISTRATOR)
(972) 367-4845
Entity
Organization
Contact information
Practice address
2139 GEORGIA AVENUE NW MEDICAL ARTS BUILDING, WASHINGTON, DC 20060-0001
(202) 865-7499
Mailing address
15305 DALLAS PKWY STE 800, ADDISON, TX 75001-6415
(972) 367-4845
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/09/2025
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