Internal Medicine, Sports Medicine
GLENVILLE STATE COLLEGE
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 Plan acceptance stays unpublished until the practice reports it.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 1043850191 · enumerated 2020-01-07 · record updated 2020-01-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: MOUZON BASS, Administrator/Agent · (972) 367-4845
Other names: GLENVILLE SPORTS MEDICINE
Addresses and phones
- Mailing address 5050 SPRING VALLEY RD, DALLAS, TX, 75244-3995 Google Maps Apple Maps OpenStreetMap
- Practice location 200 HIGH ST, GLENVILLE, WV, 26351-1200 (972) 367-4845 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine, Sports Medicine 207RS0010X · Primary
In this directory
WV Gilmer County Glenville Internal Medicine, Sports Medicine
Locations and evidence
-
Practice location
GLENVILLE, WV, 263511200
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.