Drive Nation Sports LLC
NPI #1386319812 in Waxahachie, Texas
Provider Information
- NPI Number
- 1386319812
- Entity Type
- Organization
- Organization Name
- Drive Nation Sports LLC
- Primary Specialty
- Family Medicine - Sports Medicine
- Enumeration Date
- Aug 16, 2021
- Last Updated
- Dec 17, 2021
Practice Location
- Address
- 1200 SYCAMORE ST
- City
- Waxahachie
- State
- Texas
- ZIP Code
- 75165-2397
- Phone
- (972) 367-4845
Authorized Official
- Name
- MR. MOUZON BASS III
- Title
- ADMINISTRATOR/AGENT
- Phone
- (972) 367-4845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
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