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

Southwestern Oklahoma State University

Organization Orthopaedic Surgery Physician · NPI 1235631128

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

In the registry since
2018

Practice location Address checks out

100 Campus Dr
Weatherford, OK 73096-3001
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 number1235631128
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator · (972) 367-4845
Other names Swosu Sports Medicine
NPI enumeratedMarch 6, 2018
Last updated in NPPESMarch 6, 2018
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3995