WEBER STATE UNIVERSITY – Sports Medicine (Family Medicine) Physician, NPI 1053702431

WEBER STATE UNIVERSITY is a healthcare provider. based in Addison, Texas. specializing in Sports Medicine (Family Medicine) Physician. The NPI Number for WEBER STATE UNIVERSITY is 1053702431

Main info

Organization
Name
WEBER STATE UNIVERSITY
NPI
1053702431
Phone
(972) 367-4845
Address
15305 DALLAS PKWY STE 800
Authorized Official
MOUZON BASS III AGENT
Enumeration Date
6 February 2015
Last Update Date
17 December 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:11State licenses:0Digital endpointsOther names

Provider Addresses for WEBER STATE UNIVERSITY

  • 15305 DALLAS PKWY STE 800

    ADDISON, TX 750016415

    Phone: (972) 367-4845

    Type: Mailing

  • 1001 UNIVERSITY CIR

    OGDEN, UT 844085525

    Phone: (972) 367-4845

    Fax: (972) 367-3451

    Type: Location

  • 5050 SPRING VALLEY RD

    DALLAS, TX 752443995

    Phone: (972) 367-4842

    Fax: (972) 367-3452

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75001)

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Reviews

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Frequently asked questions

Can I cross-check WEBER STATE UNIVERSITY using NPI 1053702431?
NPI 1053702431 belongs to WEBER STATE UNIVERSITY; compare other details if you need extra assurance.
Is there an active status for WEBER STATE UNIVERSITY?
For scheduling context, WEBER STATE UNIVERSITY is shown as active in the registry.
What area of care is associated with WEBER STATE UNIVERSITY?
WEBER STATE UNIVERSITY's record emphasizes Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for WEBER STATE UNIVERSITY?
Travel planning: use Addison, Texas as the reference point for WEBER STATE UNIVERSITY, then confirm.
Can I trust this NPI listing for WEBER STATE UNIVERSITY?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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