Sul Ross State University

NPI #1649742255 in Alpine, Texas

Provider Information

NPI Number: 1649742255
Entity Type: Organization
Organization Name: Sul Ross State University
Primary Specialty: General Practice
Enumeration Date: Dec 20, 2018
Last Updated: Dec 20, 2018

Practice Location

Address: 79830 US 90
City: Alpine
State: Texas
ZIP Code: 79830
Phone: (972) 367-4845

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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