Orthopaedic Surgery
CENTRAL METHODIST UNIVERSITY
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1467903971 · enumerated 2016-10-19 · record updated 2016-10-19. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: MOUZON BASS, Agent · (972) 367-4845
Other names: CENTRAL METHODIST UNIVERSITY SPORTS MEDICINE
Addresses and phones
- Mailing address 5050 SPRING VALLEY RD., DALLAS, TX, 75244-3909 Google Maps Apple Maps OpenStreetMap
- Practice location 411 CENTRAL METHODIST SQ, FAYETTE, MO, 65248-1104 (660) 248-6346 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery 207X00000X · Primary · License 2001007784 MO
In this directory
Locations and evidence
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Practice location
FAYETTE, MO, 652481104
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.