Abilene Christian University

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G5644 Issued in TX

Legal business name

ABILENE CHRISTIAN UNIVERSITY

Doing business as

ACU Sports Medicine

Practice address

1600 Campus CT
Abilene, TX 79601-3761

Phone

(972) 367-4845

NPI assigned

Dec 13, 2016

Last updated

Dec 13, 2016By 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

Agent

Phone

(972) 367-4845

Specialties & licenses 1

Addresses

Other names 1

• ACU Sports Medicine Doing business as

Tax ID family

Abilene Christian University2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Voice Institute of West Texas @Abilene Christian University

  dba Voice Institute of West Texas

  • Hearing and Speech Clinic/Center
  • Abilene, TX
  • NPI 1023093820
  NPD tax ID

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1669916474",
    "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": "752443909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CAMPUS CT",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013761",
            "telephone_number": "972-367-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILENE CHRISTIAN UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "MOUZON",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "972-367-4845",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "G5644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACU Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abilene Center for Orthopedic and Multispecialty Surgery, L.L.C.
• Abilene Children's Medical Association, LLP
• Abilene Chiropractic Associates
• Abilene Chiropractic PC (Abilene Chiropractic)
• Abilene Christian University (Center for Speech and Language Disorders at ACU)
• Abilene Christian University
• Abilene Dental Care South PLLC
• Abilene Dermatology and Skin Surgery Center PC
• Abilene Emergency Physicians Staffing PA
• Abilene Endocrinology, P.a.

• Orthopaedic Surgery Physician in Abilene, TX
• Providers in Abilene, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.