Abilene Christian University
Organization Active NPI Orthopaedic Surgery Physician · Abilene, TX
NPI 1669916474 · NPPES record last updated Dec 13, 2016
Key facts
- NPI
- 1669916474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- G5644 (TX)
- Legal business name
- ABILENE CHRISTIAN UNIVERSITY
- Practice address
- 1600 Campus CT
Abilene, TX 79601-3761 - Phone
- (972) 367-4845
- NPI assigned
- Dec 13, 2016
- Organization subpart
- No
Authorized official
- Name
- Mouzon Bass III
- Title
- Agent
- Phone
- (972) 367-4845
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Abilene Christian University
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | G5644 | TX | Yes |
Addresses
Primary practice location
1600 Campus CT
Abilene, TX 79601-3761
Mailing address
5050 Spring Valley Rd.
Dallas, TX 75244-3909
Other names
- ACU Sports Medicine
Other providers in Abilene, TX
- Abilene Center for Orthopedic and Multispecialty Surgery, L.L.C.
- Abilene Children'S Medical Association, LLP
- Abilene Chiropractic Associates
- Abilene Chiropractic PC
- Abilene Christian University
- Abilene Christian University
- Abilene Dental Care South PLLC
- Abilene Dermatology and Skin Surgery Center PC
- Abilene Emergency Physicians Staffing PA
- Abilene Endocrinology, P.a.
All providers in Abilene, TX · Orthopaedic Surgery Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.