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

King University

Organization Sports Medicine (Family Medicine) Physician · NPI 1780340125

King University is a Sports Medicine (Family Medicine) Physician in Bristol, Tennessee. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1350 King College Rd
Bristol, TN 37620-2632
Phone: (972) 367-4845
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 number1780340125
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator/Agent · (972) 367-4845
Other names King University Athletics; King University Athletics
NPI enumeratedNovember 10, 2021
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415

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