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

Grayson College

Organization Sports Medicine (Family Medicine) Physician · NPI 1962133496

Grayson College is a Sports Medicine (Family Medicine) Physician in Denison, Texas. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

6101 Grayson Dr
Denison, TX 75020-8307
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

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1962133496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator/Agent · (972) 367-4845
Other names Grayson College Athletics
NPI enumeratedJune 24, 2022
Last updated in NPPESJune 24, 2022
Certification dateJune 24, 2022
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415