Enmu Sports Medicine

LBN: Eastern New Mexico University
Enmu Sports Medicine is an health care organization with primary practice located at 1500 S Avenue K , Portales NM 88130-7400. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Eastern New Mexico University can be contacted via phone (972) 367-4845, or through Bass, Mouzon via phone (972) 367-4845.

Contact Information

Primary practice address
1500 S Avenue K Portales NM 88130-7400
Phone: (972) 367-4845
Fax: (972) 367-3451
Website:
Map and Directions
Authorized official contact:
Name: Bass, Mouzon
Phone: (972) 367-4845

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X

Profile Details

NPI number 1053794727
LBN Legal business name Eastern New Mexico University
DBA Doing business as Enmu Sports Medicine
Authorized official Bass, Mouzon
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2015
Last updated Jun 30th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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