King University
NPI #1780340125 in Bristol, Tennessee
Provider Information
- NPI Number
- 1780340125
- Entity Type
- Organization
- Organization Name
- King University
- Primary Specialty
- Family Medicine - Sports Medicine
- Enumeration Date
- Nov 10, 2021
- Last Updated
- Dec 17, 2021
Practice Location
Authorized Official
- Name
- MR. MOUZON BASS
- Title
- ADMINISTRATOR/AGENT
- Phone
- (972) 367-4845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
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