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

Southwestern Assemblies of God University

Organization Family Medicine Physician · NPI 1245610666

Southwestern Assemblies of God University is a Family Medicine Physician in Waxahachie, Texas. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

1200 Sycamore St
Waxahachie, TX 75165-2397
Phone: (972) 825-4671
Fax: (972) 367-3451
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X

Record details

NPI number1245610666
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Sagu Sports Medicine
NPI enumeratedJune 1, 2015
Last updated in NPPESJune 1, 2015
Mailing addressPo Box 650850, Dept 1011, Dallas, TX 75265-0850

Other providers in Waxahachie