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MCNEESE SPORTS MEDICINE
NPI 1750863957
Family Medicine in Lake Charles, LA

Active since September 04, 2018
700 E MCNEESE ST, LAKE CHARLES, LA 70607(972) 367-4845 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2021, Sep 4, 2018 (2 updates tracked since 2018).

About Mcneese Sports Medicine NPPES

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

MCNEESE SPORTS MEDICINE (NPI 1750863957) is a healthcare organization registered as a family medicine in Lake Charles, Louisiana and active in the NPI registry since September 2018. The organization lists Mouzon Bass, Administrator/agent, as its authorized official.

NPPES Registry Identity

NPI1750863957
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMCNEESE STATE UNIVERSITY
Location Address700 E MCNEESE STLake Charles, LA 70607-5832
Mailing Address15305 Dallas Pkwy Ste 800Addison, TX 75001-6415
Phone(972) 367-4845
Organization SubpartNo
Authorized OfficialMouzon BassAdministrator/agent · (972) 367-4845
Enumeration DateSeptember 4, 2018
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1750863957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
700 E MCNEESE ST, Lake Charles, LA 70607
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Other Names 1

Doing Business AsMcneese 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

Other Providers at the Same Location NPPES 2

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

JUSTIN KING ATC
Specialist/Technologist (Athletic Trainer)
700 E MCNEESE ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 475-5219
TIFFANI FRIZZELL MS, LAT, PES, ATC
Specialist/Technologist (Athletic Trainer)
700 E MCNEESE ST
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 562-4678

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 Mcneese State University's NPI number?

The NPI number for Mcneese State University is 1750863957. It was assigned to this organization in the NPPES registry on September 4, 2018. The provider is doing business as Mcneese Sports Medicine.

Where is Mcneese State University located?

Mcneese State University is located at 700 E Mcneese St, Lake Charles, LA 70607. The listed phone number is (972) 367-4845.

What is Mcneese State University's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mcneese State University was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.