Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastern New Mexico University

Organization Speech-Language Pathologist · NPI 1053794727

Eastern New Mexico University is a Speech-Language Pathologist in Portales, New Mexico. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

1500 S Avenue K
Portales, NM 88130-7400
Phone: (972) 367-4845
Fax: (972) 367-3451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1053794727
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Enmu Sports Medicine
NPI enumeratedJune 30, 2015
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026
Mailing addressPo Box 650850, Dallas, TX 75265-0850

Other providers in Portales