Emporia State University

NPI #1164879821 in Dallas, Texas

Provider Information

NPI Number: 1164879821
Entity Type: Organization
Organization Name: Emporia State University
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: May 23, 2016
Last Updated: May 31, 2016

Practice Location

Address: 5050 SPRING VALLEY RD
City: Dallas
State: Texas
ZIP Code: 75244-3909
Phone: (972) 367-4845

Authorized Official

Name: MOUZON BASS III
Title: AGENT
Phone: (972) 367-4845

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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