Southwestern Assemblies of God University
NPI 1245610666ActiveOrganization· Family Medicine· Waxahachie, TX
Family Medicine in Waxahachie, Texas, registered in NPPES in June 2015. The authorized official on file is Mouzon Bass, Agent.
Overview
| NPI | 1245610666 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 1, 2015 |
| Last updated in NPPES | Jun 1, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Family Medicine, Sports Medicine | 207QS0010X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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