OrganizationActive
Kansas Wesleyan University
NPI 1023561818 · Orthopaedic Surgery Physician · Dallas, TX
Provider details
- NPI number
- 1023561818
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mouzon Bass, Agen(972) 367-4845
- License
- 04-17244 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5050 Spring Valley Rd
Dallas, TX 75244-3909
Phone: (972) 367-4845
Street-level locationGet directions
Mailing address
100 E. Claflin Ave
Salina, KS 67401-6196
Other names (DBA / former)
- Doing business as
- Kansas Wesleyan University Sports Medicine
Registry dates
- Enumerated
- 2016-07-27
- Last updated
- 2016-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.