Missouri Western State University Sports Medicine – Orthopaedic Surgery Physician, NPI 1063891158

Missouri Western State University Sports Medicine is a healthcare provider. based in Dallas, Texas. specializing in Orthopaedic Surgery Physician. The NPI Number for Missouri Western State University Sports Medicine is 1063891158

Main info

Organization
Name
Missouri Western State University Sports Medicine
NPI
1063891158
Phone
(800) 555-9073
Address
PO BOX 650850
Authorized Official
MOUZON BASS AGENT
Enumeration Date
22 May 2015
Last Update Date
22 May 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness80
Years active:11State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Missouri Western State University Sports Medicine

  • PO BOX 650850

    DEPT 1011

    DALLAS, TX 752650850

    Phone: (800) 555-9073

    Fax: (972) 367-3452

    Type: Mailing

  • 4525 DOWNS DR

    SAINT JOSEPH, MO 645072246

    Phone: (816) 271-4597

    Fax: (972) 367-3451

    Type: Location

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

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 ·

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

Insurance plans in this area (ZIP 75265)

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Reviews

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Frequently asked questions

What NPI should I save for Missouri Western State University Sports Medicine?
Save NPI 1063891158 if you need a stable reference for Missouri Western State University Sports Medicine.
Is Missouri Western State University Sports Medicine currently active in the NPI registry?
CMS-published data lists Missouri Western State University Sports Medicine as an active registrant.
What field does Missouri Western State University Sports Medicine work in?
You can think of Missouri Western State University Sports Medicine as practicing within Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Does Missouri Western State University Sports Medicine practice in Texas?
You will see Dallas, Texas on file for Missouri Western State University Sports Medicine alongside any extra practice locations.
How can I contact Missouri Western State University Sports Medicine?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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