MCLENNAN COMMUNITY COLLEGE
NPI 1124701412
Family Medicine - Sports Medicine in Waco, TX

Q: What is Mclennan Community College's NPI number?

The NPI number for Mclennan Community College is 1124701412. It was assigned to this organization in the NPPES registry on August 11, 2023. The provider is doing business as McLennan Athletics.

Q: What is Mclennan Community College's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since August 11, 2023

1400 COLLEGE DR, WACO, TX 76708(972) 367-4845 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mclennan Community College NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCLENNAN COMMUNITY COLLEGE (NPI 1124701412), doing business as Mclennan Athletics, is a healthcare organization registered as a sports medicine in Waco, Texas and active in the NPI registry since August 2023. The organization lists Mouzon Bass, Administrator/agent, as its authorized official.

NPPES Registry Identity

NPI1124701412

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameMCLENNAN COMMUNITY COLLEGE

Location Address1400 COLLEGE DRWaco, TX 76708-1402

Mailing Address15305 Dallas Pkwy Ste 800Addison, TX 75001-6415 · (972) 367-4845

Phone(972) 367-4845

Organization SubpartNo

Authorized OfficialMouzon BassAdministrator/agent · (972) 367-4845

Enumeration DateAugust 11, 2023

NPPES CertifiedAugust 11, 2023

✔ NPI 1124701412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

1400 COLLEGE DR, Waco, TX 76708

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Other Names 1

Doing Business AsMclennan Athletics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. REBECCA LYNN RAILSBACK ATC, LAT, M.S.ED.

Specialist/Technologist (Athletic Trainer)