| Seosu Sports Medicine | |
|
425 W University Blvd Durant OK 74701-3347 | |
| (972) 367-4845 | |
| Not Available |
| Full Name | Seosu Sports Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 425 W University Blvd, Durant, Oklahoma |
| Authorized Official Name and Position | Muzon Bass (ADMINISTRATOR) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seosu Sports Medicine 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: (972) 367-4845 | Seosu Sports Medicine 425 W University Blvd Durant OK 74701-3347 Ph: (972) 367-4845 |
| NPI Number | 1689179764 |
|---|---|
| Provider Enumeration Date | 03/29/2018 |
| Last Update Date | 03/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689179764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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