Mid-America Nazarene University

NPI #1427501238 in Dallas, Texas

Provider Information

NPI Number: 1427501238
Entity Type: Organization
Organization Name: Mid-America Nazarene University
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jul 28, 2016
Last Updated: Jul 28, 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: AGEN
Phone: (972) 367-4845

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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