Holy Family University
Orthopaedic Surgery, Sports Medicine in Philadelphia, PA. Organization (NPI-2).
NPI number1366961237
StatusActive
Last updated in NPPESSep 12, 2017
Details
- NPI
- 1366961237
- Entity type
- Organization (NPI-2)
- Legal business name
- Holy Family University
- Organization subpart
- No
- Enumeration date
- Sep 12, 2017
- Last updated
- Sep 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | MD028513E | PA | Yes |
Other names
- Holy Family Sports Medicine (Doing Business As)
Practice location
9801 Frankford AvePhiladelphia, PA 19114-2009
Phone 972-367-4845
Mailing address
5050 Spring Valley RdDallas, TX 75244-3995
Authorized official
Mouzon Bass
Agent
9723674845
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