| |
3230 Stadium Tower Troy AL 36082-0001 | |
(334) 670-3720 | |
(972) 367-3451 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 3230 Stadium Tower, Troy, Alabama |
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 |
---|---|
Po Box 650850 Dept 1011 Dallas TX 75265-0850 Ph: (800) 555-9073 | 3230 Stadium Tower Troy AL 36082-0001 Ph: (334) 670-3720 |
NPI Number | 1780055038 |
---|---|
Provider Enumeration Date | 10/13/2015 |
Last Update Date | 10/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780055038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Secondary |
Southeast Alabama Rural Health Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 Elba Hwy, Troy, AL 36079 Phone: 334-670-6726 Fax: 334-670-6731 | |
Troy Family Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Country Club Rd, Troy, AL 36079 Phone: 334-807-0235 Fax: 334-807-0099 | |