Family Medicine, Sports Medicine
STATE OF LOUISIANA
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 Plan acceptance stays unpublished until the practice reports it.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 1578950028 · enumerated 2015-04-22 · record updated 2015-04-22. 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: SOUTHEASTERN LOUISIANA SPORTS MEDICINE
Addresses and phones
- Mailing address PO BOX 650850, DEPT 1011, DALLAS, TX, 75265-0850 (800) 555-9073 Fax (972) 367-3452 Google Maps Apple Maps OpenStreetMap
- Practice location 548 WESTERN AVE, HAMMOND, LA, 70402-0001 (972) 367-4845 Fax (972) 367-3451 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery 207X00000X
- Family Medicine, Sports Medicine 207QS0010X · Primary
In this directory
LA Tangipahoa Parish Hammond Family Medicine, Sports Medicine
Locations and evidence
-
Practice location
HAMMOND, LA, 704020001
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.