Concordia University Texas

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

CONCORDIA UNIVERSITY TEXAS

Doing business as

CUTX Sports Medicine

Practice address

11400 Concordia University Dr
Austin, TX 78726-1887

Phone

(512) 313-4524

NPI assigned

Jul 9, 2019

Last updated

Jul 9, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mouzon Bass III

Title

Administrator/Agent

Phone

(972) 367-4845

Specialties & licenses 1

Addresses

Other names 1

• CUTX Sports Medicine Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1205488483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 CONCORDIA UNIVERSITY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787261887",
            "telephone_number": "512-313-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA UNIVERSITY TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "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",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUTX Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shane Cristina Concepcion, CNS
• Samantha Concha, MS, RD
• Concierge Orthopedics
• Concierge Screening Solution
• Concord Clinic (Children's Clinic of Leander)
• Charlene Theresa Condoll, NP-C
• Kelani Condon, PHARM.D.
• Conduit Chiropractic PLLC
• Jeffrey D Cone Jr., M.D.
• Joel Douglas Cone, DC

• Sports Medicine (Orthopaedic Surgery) Physician in Austin, TX
• Providers in Austin, TX by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.