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

Southern Virginia University

Organization Pediatric Allergy/Immunology Physician · NPI 1528654159

Southern Virginia University is a Pediatric Allergy/Immunology Physician in Buena Vista, Virginia. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1 University Hill Dr
Buena Vista, VA 24416-3038
Phone: (540) 261-8414
Show map & directions

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

Specialties & licences

Pediatric Allergy/Immunology Physician (primary) Taxonomy 2080P0201X

Record details

NPI number1528654159
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator/Agent · (972) 367-4845
Other names Svu Student Health Services; Svu Student Health Services
NPI enumeratedDecember 17, 2020
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415