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

Sam Houston State University

Organization Orthopaedic Surgery Physician · NPI 1588336135

Sam Houston State University is an Orthopaedic Surgery Physician in Huntsville, Texas. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1003 17th Street Attn: Athletic Dept
Huntsville, TX 77341-0001
Phone: (936) 294-1710
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 number1588336135
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent/Administrator · (972) 367-4845
Other names Sam Houston Athletics; Sam Houston Athletics
NPI enumeratedOctober 1, 2021
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415

Other providers in Huntsville