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

Emporia State University

Organization Obstetrics & Gynecology Physician · NPI 1164879821

Emporia State University is an Obstetrics & Gynecology Physician in Dallas, Texas. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

5050 Spring Valley Rd
Dallas, TX 75244-3909
Phone: (972) 367-4845
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1164879821
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Emporia State University Sports Medicine
NPI enumeratedMay 23, 2016
Last updated in NPPESMay 31, 2016
Mailing address1 Kellogg Cir, Emporia, KS 66801-5415

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