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

Saint Augustines University

Organization Sports Medicine (Family Medicine) Physician · NPI 1336871151

Saint Augustines University is a Sports Medicine (Family Medicine) Physician in Raleigh, North Carolina. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1315 Oakwood Ave
Raleigh, NC 27610-2247
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 number1336871151
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator/Agent · (972) 367-4845
Other names Saint Augustines University Athletics
NPI enumeratedJune 29, 2022
Last updated in NPPESJune 29, 2022
Certification dateJune 29, 2022
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415

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