Organization · Type 2 NPI

Texas State University

Orthopaedic Surgery Physician · San Marcos, TX

NPI number 1730725128 Active

Practice location

601 University Drive, Athletic Administration Complex
San Marcos, TX 78666

Call (972) 367-4845 Map

Mailing address

15305 Dallas Pkwy Ste 800
Addison, TX 75001-6415

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician Primary	207X00000X	None listed

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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NPI record

NPI: 1730725128
Entity type: Organization (Type 2)
Issued: Nov 21, 2019
Last updated: Dec 17, 2021
Status: Active

Other names

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Texas State Sports Medicine · doing business as
Texas State Sports Medicine · doing business as

Authorized official

Mouzon Bass
Administrator/agent
(972) 367-4845

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1730725128

Texas State University's National Provider Identifier is 1730725128, issued on Nov 21, 2019. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in San Marcos, TX. The record was last updated on Dec 17, 2021.