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

Oklahoma Panhandle State University

Organization Orthopaedic Surgery Physician · NPI 1457859704

Oklahoma Panhandle State University is an Orthopaedic Surgery Physician in Goodwell, Oklahoma. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

323 W Eagle Blvd
Goodwell, OK 73939-1500
Phone: (972) 367-4845
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1457859704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Okpsu Sports Medicine
NPI enumeratedJanuary 31, 2018
Last updated in NPPESJanuary 31, 2018
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3995