University of Dallas

NPI #1871964122 in Irving, Texas

Provider Information

NPI Number
1871964122
Entity Type
Organization
Organization Name
University of Dallas
Primary Specialty
Pediatrics
Enumeration Date
Oct 13, 2015
Last Updated
Oct 13, 2015

Practice Location

Address
1845 E NORTHGATE DR
Address 2
MAHER ATHLETIC CENTER
City
Irving
State
Texas
ZIP Code
75062-4736
Phone
(972) 721-5010

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pediatrics - Sports MedicineSports Medicine
Pediatrics

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