Southwestern Assemblies of God University
NPI #1245610666 in Waxahachie, Texas
Provider Information
- NPI Number
- 1245610666
- Entity Type
- Organization
- Organization Name
- Southwestern Assemblies of God University
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 1, 2015
- Last Updated
- Jun 1, 2015
Practice Location
- Address
- 1200 SYCAMORE ST
- City
- Waxahachie
- State
- Texas
- ZIP Code
- 75165-2397
- Phone
- (972) 825-4671
Authorized Official
- Name
- MOUZON BASS III
- Title
- AGENT
- Phone
- (972) 367-4845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
| Family Medicine |
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