Organization · Type 2 NPI

King University

Sports Medicine (Family Medicine) Physician · Bristol, TN

NPI number 1780340125 Active

Practice location

1350 King College Rd
Bristol, TN 37620-2632

Call (972) 367-4845 Map

Mailing address

15305 Dallas Pkwy Ste 800
Addison, TX 75001-6415

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	None listed

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

5 other providers at this address

NPI record

NPI: 1780340125
Entity type: Organization (Type 2)
Issued: Nov 10, 2021
Last updated: Dec 17, 2021
Status: Active

Other names

<unavail>
King University Athletics · doing business as
King University Athletics · doing business as

Authorized official

Mr. 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.

Is this your record? How to update it.

About NPI 1780340125

King University's National Provider Identifier is 1780340125, issued on Nov 10, 2021. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Bristol, TN. The record was last updated on Dec 17, 2021.