| Tabor College Sports Medicine | |
|
400 S Jefferson St Hillsboro KS 67063-1753 | |
| (972) 367-4845 | |
| Not Available |
| Full Name | Tabor College Sports Medicine |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 400 S Jefferson St, Hillsboro, Kansas |
| Authorized Official Name and Position | Mouzon Bass (AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tabor College Sports Medicine 5050 Spring Valley Rd. Dallas TX 75244-3909 Ph: () - | Tabor College Sports Medicine 400 S Jefferson St Hillsboro KS 67063-1753 Ph: (972) 367-4845 |
| NPI Number | 1811437890 |
|---|---|
| Provider Enumeration Date | 02/24/2017 |
| Last Update Date | 02/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811437890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 04-34857 (Kansas) | Primary |
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