TEXAS SOUTHERN UNIVERSITY (NPI# 1720435308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720435308 |
| Entity Type | Organization |
| Organization Name | TEXAS SOUTHERN UNIVERSITY |
| Other Organization Name | TEXAS SOUTHERN UNIVERSITY SPORTS MEDICINE |
| Practice Address |
3100 Cleburne St Houston TX 77004-4501 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3909 |
| Practice Telephone | 7133137011 |
| Mailing Telephone | 9723674845 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |
| Authorized Official Name | MOUZON BASS III (AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
N3308 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Texas Southern University Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669785853 | Texas Southern University | Clinic/Center | 3100 Cleburne St, Student Health Center, Houston, TX 77004-4501 | 2010-07-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TEXAS SOUTHERN UNIVERSITY | 3100 Cleburne St, Houston, TX 77004-4501 |
| Street Address |
3100 CLEBURNE ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77004-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205149606 | John Wesley Harvey | Specialist/Technologist | 3100 Cleburne St, Houston, TX 77004-4501 | 2010-07-14 |
| 1669785853 | Texas Southern University | Clinic/Center | 3100 Cleburne St, Student Health Center, Houston, TX 77004-4501 | 2010-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366081622 | University of Houston | Community Health Worker | 4649 Calhoun Rd, Ste 342, Houston, TX 77004 | 2020-01-03 |
| 1205487394 | Sharon B Robinson | Technician | 3405 Drew Apt. #1, Houston, TX 77004 | 2019-09-20 |
| 1386206209 | H-e-b, Lp | Clinical Medical Laboratory | 6055 South Freeway, Houston, TX 77004 | 2019-07-01 |
| 1952886699 | Accucare Medical Clinic Pllc | Clinic/Center | 2918 San Jacinto St Ste 150, Houston, TX 77004 | 2018-09-28 |
| 1922541275 | Rita Assi | Student in an Organized Health Care Education/Training Program | 4407 Austin Street, Houston, TX 77004 | 2016-11-18 |
| 1396291001 | Yoon Jung Park | Nurse Practitioner | 1200 Binz St #1040, Houston, TX 77004 | 2016-09-01 |
| 1962869339 | Elite One Direct | Home Health | 3501 Chenevert, 24, Houston, TX 77004 | 2016-01-15 |
| 1750624391 | Houston Skin Cancer Associates, Pllc | Dermatology | 1401 Binz Street, Suite 200, Houston, TX 77004 | 2013-04-02 |
| 1508109273 | Akwete Riley | Speech-Language Pathologist | 2712 Isabella, Houston, TX 77004 | 2013-04-01 |
| 1831437003 | Lonestar Dental Emergency Care, PC | Dentist | 5445 Almeda Rd, Ste. 300, Houston, TX 77004 | 2013-01-23 |
| Find all providers in zip 77004 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194223644 | James R. Bocell | Orthopaedic Surgery | 2639 Fenwood Rd, Houston, TX 77005-3435 | 2018-01-30 |
| 1073039244 | Aa Orthopedics | Orthopaedic Surgery | 2302 Fannin St Ste 410, Houston, TX 77002-9135 | 2017-08-18 |
| 1598203580 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 12211 Kirby Dr, Suite 200, Houston, TX 77045-4859 | 2017-02-09 |
| 1033657002 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 5505 West Loop S Ste 100, Houston, TX 77081 | 2017-02-09 |
| 1407266844 | Mark R Rogers Md Pa | Orthopaedic Surgery | 12000 Richmond Ave Ste 370, Houston, TX 77082-2964 | 2014-05-07 |
| 1639335359 | James Matthew Gregory | Orthopaedic Surgery | 929b Gessner Rd Ste 100, Houston, TX 77024-2854 | 2008-08-01 |
| 1801059977 | Angelo Dushi Parameswaran | Orthopaedic Surgery | 22485 Tomball Pkwy Ste 2100, Houston, TX 77070-1560 | 2008-07-08 |
| 1457499071 | Anastassios Karistinos | Orthopaedic Surgery | 6620 Main Street Suite 1325, Houston, TX 77030 | 2007-02-03 |
| 1770673428 | Mark Stephen Adickes | Orthopaedic Surgery | 7200 Cambridge St Fl 10, Houston, TX 77030-4202 | 2006-10-13 |
| 1093322075 | Para-raghu, LLC | Orthopaedic Surgery | 2302 Fannin St Ste 410, Houston, TX 77002-9135 | 2020-09-24 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.