SUL ROSS STATE UNIVERSITY
NPI 1649742255
General Practice in Alpine, TX

Q: What is Sul Ross State University's NPI number?

The NPI number for Sul Ross State University is 1649742255. It was assigned to this organization in the NPPES registry on December 20, 2018. The provider is doing business as Sul Ross Sports Medicine.

Q: What is Sul Ross State University's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since December 20, 2018

79830 US 90, ALPINE, TX 79830(972) 367-4845 Get Directions Write a Review

NPPES record last updated: December 20, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Sul Ross State University NPPES

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

SUL ROSS STATE UNIVERSITY (NPI 1649742255), doing business as Sul Ross Sports Medicine, is a healthcare organization registered as a general practice in Alpine, Texas and active in the NPI registry since December 2018. The organization lists Mouzon Bass, Administrator/agent, as its authorized official.

NPPES Registry Identity

NPI1649742255

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameSUL ROSS STATE UNIVERSITY

Location Address79830 US 90Alpine, TX 79830

Mailing Address5050 Spring Valley RdDallas, TX 75244-3995

Phone(972) 367-4845

Organization SubpartNo

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

Enumeration DateDecember 20, 2018

✔ NPI 1649742255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

79830 US 90, Alpine, TX 79830

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Other Names 1

Doing Business AsSul Ross Sports Medicine

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sul Ross State University's NPI number?

The NPI number for Sul Ross State University is 1649742255. It was assigned to this organization in the NPPES registry on December 20, 2018. The provider is doing business as Sul Ross Sports Medicine.

Where is Sul Ross State University located?

Sul Ross State University is located at 79830 Us 90, Alpine, TX 79830. The listed phone number is (972) 367-4845.

What is Sul Ross State University's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Sul Ross State University was last updated on December 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.