LETU SPORTS MEDICINE
NPI 1932598513
Family Medicine in Longview, TX

Active since January 20, 2015
2100 S MOBBERLY AVE, LONGVIEW, TX 75602(903) 233-3760(972) 367-3451 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Letu Sports Medicine NPPES

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

LETU SPORTS MEDICINE (NPI 1932598513) is a healthcare organization registered as a family medicine in Longview, Texas and active in the NPI registry since January 2015. The organization lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1932598513
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLETOURNEAU UNIVERSITY
Location Address2100 S MOBBERLY AVELongview, TX 75602-3564
Mailing Address5050 Spring Valley RdDallas, TX 75244-3995 · (800) 555-9073 · Fax (972) 367-3452
Fax(972) 367-3451
Organization SubpartNo
Authorized OfficialMouzon BassAgent · 18005559073
Enumeration DateJanuary 20, 2015
NPI 1932598513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
2100 S MOBBERLY AVE, Longview, TX 75602

Other Names 1

Doing Business AsLetu Sports Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Family Medicine
2100 S MOBBERLY AVE
LONGVIEW, TX 75602
Specialist/Technologist (Athletic Trainer)
2100 S MOBBERLY AVE
LONGVIEW, TX 75602
Physical Medicine & Rehabilitation (Sports Medicine)
2100 S MOBBERLY AVE
LONGVIEW, TX 75602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932598513, enumerated as an "organization" on January 20, 2015.

The provider is located at 2100 S MOBBERLY AVE LONGVIEW, TX 75602 and the phone number is (903) 233-3760.

Family Medicine with taxonomy code 207Q00000X.