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

Texas Southern University

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1720435308

Texas Southern University is a Sports Medicine (Orthopaedic Surgery) Physician in Houston, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016

Practice location Address checks out

3100 Cleburne St
Houston, TX 77004-4501
Phone: (713) 313-7011
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence N3308 (TX)

Record details

NPI number1720435308
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Texas Southern University Sports Medicine
NPI enumeratedMay 24, 2016
Last updated in NPPESMay 24, 2016
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3909

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