University of Tulsa Athletics – Sports Medicine (Family Medicine) Physician, NPI 1639844129

University of Tulsa Athletics is a healthcare provider. based in Addison, Texas. specializing in Sports Medicine (Family Medicine) Physician. The NPI Number for University of Tulsa Athletics is 1639844129

Main info

Organization
Name
University of Tulsa Athletics
NPI
1639844129
Phone
(972) 367-4845
Address
15305 DALLAS PKWY STE 800
Authorized Official
MR. MOUZON BASS III ADMINISTRATOR/AGENT
Enumeration Date
16 August 2021
Last Update Date
17 December 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness80
Years active:4State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for University of Tulsa Athletics

  • 15305 DALLAS PKWY STE 800

    ADDISON, TX 750016415

    Phone: (972) 367-4845

    Type: Mailing

  • 800 S TUCKER DR

    TULSA, OK 741049700

    Phone: (972) 367-4845

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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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

What federal number belongs to University of Tulsa Athletics?
The federal identifier for University of Tulsa Athletics is NPI 1639844129.
Is University of Tulsa Athletics currently active in the NPI registry?
CMS-published data lists University of Tulsa Athletics as an active registrant.
What kind of provider is University of Tulsa Athletics?
The page reflects Sports Medicine (Family Medicine) Physician for University of Tulsa Athletics. Clinical services aligned with this taxonomy classification.
What location metadata exists for University of Tulsa Athletics?
The page summarizes Addison, Texas for University of Tulsa Athletics; expand the address list for detail.
Is University of Tulsa Athletics a real provider?
This page reflects official NPPES data for NPI 1639844129. Always confirm identity and privileges with the practice and licensing boards.

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