NPI 1902353048
Tuskegee University
Practice location
- Address
- 1200 W Montgomery Rd Second Floor Logan Hall, Tuskegee Institute, AL 36088-1923
- Phone
- (334) 724-4545
- Mailing address
- 5050 Spring Valley Rd., Dallas, TX 75244-3909
Authorised official
- Name
- Mouzon Bass
- Title
- Agent
- Phone
- (972) 367-4845
Registered specialties
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
Registry record
- NPI
- 1902353048
- Entity type
- Organization
- NPI issued
- 7 Sep 2016
- Record last updated
- 7 Sep 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.