Active NPI
Houston Baptist University
Doing business as Houston Baptist University Athletics
- Sports Medicine (Family Medicine) Physician
- Houston, TX
National Provider Identifier
1033873849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- Legal business name
- HOUSTON BAPTIST UNIVERSITY
- Doing business as
- Houston Baptist University Athletics
- Practice address
- 7502 Fondren Rd
Houston, TX 77074-3200 - Phone
- (972) 367-4845
- NPI assigned
- Oct 27, 2021
- Last updated
- Dec 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mouzon Bass
- Title
- Administrator/Agent
- Phone
- (972) 367-4845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | NU | Primary |
Addresses
Primary practice location
7502 Fondren Rd
Houston, TX 77074-3200
Mailing address
15305 Dallas Pkwy Ste 800
Addison, TX 75001-6415
Phone (972) 367-4845
Other names 1
- Houston Baptist University Athletics
National Provider Directory
National Provider Directory- Tax ID family
- Gideon Institute of Christian Psychology and Counseling
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Houston, TX
- NPI 1831736701
Locations
7502 Fondren Rd
Houston, TX 77074
Phone (281) 649-3328
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Houston, TX
- NPI 1477748945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639699200000",
"number": "1033873849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15305 DALLAS PKWY STE 800",
"city": "ADDISON",
"state": "TX",
"postal_code": "750016415",
"telephone_number": "972-367-4845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7502 FONDREN RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770743200",
"telephone_number": "972-367-4845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOUSTON BAPTIST UNIVERSITY",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-27",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A",
"authorized_official_last_name": "BASS",
"authorized_official_first_name": "MOUZON",
"authorized_official_title_or_position": "ADMINISTRATOR/AGENT",
"authorized_official_telephone_number": "972-367-4845"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Houston Baptist University Athletics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Houston Baptist University Athletics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
- Houston Arrhythmia Associates PA
- Houston Arthritis Associates Services
- Houston Arthritis Associates, PA
- Houston Artificial Limbs LLC
- Houston Autism Center
- Houston Baptist University
- Houston Behavioral Health Institute
- Houston Behavioral Health, PLLC
- Houston Behavioral Healthcare Hospital, LLC
- Houston Behavioral Medicine PLLC (Houston Behavioral Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.