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TEXAS SOUTHERN UNIVERSITY NPI 1720435308


NPI Information

NPI: 1720435308
Provider Name: TEXAS SOUTHERN UNIVERSITY

Doing Business As: TEXAS SOUTHERN UNIVERSITY SPORTS MEDICINE

Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 45D2181304

Address:
3100 CLEBURNE ST
HOUSTON, TX
ZIP 77004
Phone: (713) 313-7011
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TEXAS SOUTHERN UNIVERSITY is a sports medicine orthopaedic surgery in Houston, TX. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. TEXAS SOUTHERN UNIVERSITY NPI is 1720435308. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Texas Southern University Sports Medicine.

The provider's business location address is:

3100 CLEBURNE ST
HOUSTON, TX
ZIP 77004-501
Phone: (713) 313-7011

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 CLIA number assigned to this NPI record is 45D2181304 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/24/2016 and was last updated on 5/24/2016.


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
1207XX0005XOrthopaedic SurgerySports MedicineN3308TEXASYes

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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