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SOUTHWESTERN ASSEMBLIES OF GOD UNIVERSITY NPI 1245610666


NPI Information

NPI: 1245610666
Provider Name: SOUTHWESTERN ASSEMBLIES OF GOD UNIVERSITY

Doing Business As: SAGU SPORTS MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1200 SYCAMORE ST
WAXAHACHIE, TX
ZIP 75165
Phone: (972) 825-4671
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SOUTHWESTERN ASSEMBLIES OF GOD UNIVERSITY is a family medicine in Waxahachie, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTHWESTERN ASSEMBLIES OF GOD UNIVERSITY NPI is 1245610666. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sagu Sports Medicine.

The provider's business location address is:

1200 SYCAMORE ST
WAXAHACHIE, TX
ZIP 75165-397
Phone: (972) 825-4671
Fax: (972) 367-3451

The provider's authorized official is Mouzon Bass .
The authorized official title is Agent and has the following contact phone number (972) 367-4845.

The enumeration date for this NPI number is 6/1/2015 and was last updated on 6/1/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QS0010XFamily MedicineSports MedicineNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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