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Sul Ross State University

NPI 1649742255ActiveOrganization· General Practice· Alpine, TX

General Practice in Alpine, Texas, registered in NPPES in December 2018. The authorized official on file is Mouzon Bass, Administrator/Agent.

Overview

NPI1649742255
StatusActive
Entity typeOrganization
NPI issuedDec 20, 2018
Last updated in NPPESDec 20, 2018

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general practitioners in Alpine

All general practitioners in Texas