OrganizationActive
Howard University
NPI 1922593482 · Sports Medicine (Family Medicine) Physician · Washington, DC
Provider details
- NPI number
- 1922593482
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Mouzon Bass, Administrator
Practice location
2139 Georgia Avenue Nw Medical Arts Building
Washington, DC 20060-0001
Phone: (202) 865-7499
Mailing address
15305 Dallas Pkwy Ste 800
Addison, TX 75001-6415
Registry dates
- Enumerated
- 2018-06-27
- Last updated
- 2025-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.