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

University of Louisiana of Monroe

Organization Family Medicine Physician · NPI 1568851962

University of Louisiana of Monroe is a Family Medicine Physician in Monroe, Louisiana. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

308 Warhawk Way
Monroe, LA 71209-0001
Phone: (318) 342-5391
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 number1568851962
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (800) 555-9073
Other names Ulm Sports Medicine
NPI enumeratedJanuary 22, 2015
Last updated in NPPESJanuary 22, 2015
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3995

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