SUL ROSS STATE UNIVERSITY (NPI# 1649742255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649742255 |
| Entity Type | Organization |
| Organization Name | SUL ROSS STATE UNIVERSITY |
| Practice Address |
79830 Us 90 Alpine TX 79830 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |
| Authorized Official Name | MOUZON BASS III (ADMINISTRATOR/AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sul Ross Sports Medicine | Doing Business As Name - Organization |
| Street Address |
79830 US 90 |
| City | ALPINE |
| State | TX |
| Zip Code | 79830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518347921 | Presidio County Health Services Inc. | Clinic/Center | 1605 N. Ft. Davis Hwy., Alpine, TX 79830 | 2015-06-02 |
| 1942611611 | Roy Amick | Counselor | 103 Texas Oak Dr, Alpine, TX 79830 | 2014-05-15 |
| 1225463565 | Big Bend Family Practice | Family Medicine | 803 N 5th St, Alpine, TX 79830 | 2013-09-05 |
| 1124370283 | Big Bend Ambulance, Pllc | Ambulance | 1300 E Us Hwy 90, Alpine, TX 79830 | 2012-10-12 |
| 1699086447 | Dominyemed Inc, Dba City Drug | Pharmacy | 202 E Ave E, Alpine, TX 79830 | 2010-06-27 |
| 1104145960 | Balmorhea Isd | Local Education Agency (LEA) | 704 Sul Ross Ave, Alpine, TX 79830 | 2010-05-19 |
| 1225216575 | Rebecca Lewis | Clinical Nurse Specialist | 803 N. 5th, Alpine, TX 79830 | 2008-02-07 |
| 1104030097 | Jerry Len Eoff | Dentist | 405 East Avenue E, Alpine, TX 79830 | 2007-05-09 |
| 1548385586 | West Texas Ambulance Service | Ambulance | 106 E Brown Ave, Alpine, TX 79830 | 2007-03-20 |
| 1346317302 | Richard G Ancell | Counselor | 804 North 5th Street, Alpine, TX 79830 | 2006-11-28 |
| Find all providers in zip 79830 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577392 | Best Americare Visiting Doctors, Inc. | General Practice | 13601 Preston Rd Ste 706w, Dallas, TX 75240-5361 | 2020-10-30 |
| 1659978401 | Instaclinic, LLC | General Practice | 7008 Quartermile Ln, Dallas, TX 75248-1448 | 2020-10-05 |
| 1649887068 | Online Care Group Texas P.a. | General Practice | 6213 County Road 308, Rosharon, TX 77583-6321 | 2020-09-29 |
| 1689288342 | Nortex Medical Group | General Practice | 981 State Highway 121 Ste 4150, Allen, TX 75013 | 2020-09-01 |
| 1518577485 | Advanced Lifestyle Solutions Pllc | General Practice | 9560 Legacy Dr Ste 260, Frisco, TX 75033-6753 | 2020-08-05 |
| 1023627569 | Shepcole, Inc. | General Practice | 1431 Greenway Dr Ste 8000, Irving, TX 75038-2448 | 2020-07-30 |
| 1376151472 | Canice Chukwuocha | General Practice | 3030 Elmside Dr Apt 179, Houston, TX 77042-3926 | 2020-07-15 |
| 1902424518 | Medkare | General Practice | 2426 Lake Kolbe Ln, Houston, TX 77080-2562 | 2020-07-09 |
| 1528683810 | Umc El Paso Healthcare Inc | General Practice | 7500 Viscount Blvd Ste 140, El Paso, TX 79925-5692 | 2020-06-11 |
| 1770107542 | Texas Integrative Wellness Pllc | General Practice | 21660 Kingsland Blvd Ste 200, Katy, TX 77450-2511 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.