TEXAS SOUTHERN UNIVERSITY SPORTS MEDICINE
NPI 1720435308
Orthopaedic Surgery - Sports Medicine in Houston, TX
NPI Status: Active since May 24, 2016
- Organization
- Orthopaedic Surgery
- Sports Medicine
- CLIA Number: 45D2181304
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 03-30-2026
About TEXAS SOUTHERN UNIVERSITY SPORTS MEDICINE
This page provides the complete NPI Profile along with additional information for Texas Southern University Sports Medicine, a provider established in Houston, Texas operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1720435308 assigned on May 2016. The practitioner's primary taxonomy code is 207XX0005X with license number N3308 (TX). The provider is registered as an organization and their NPI record was last updated 9 years ago. Texas Southern University Sports Medicine operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Texas Southern University Sports Medicine. The authorized official of this NPI record is Mouzon Bass Iii (Agent)
- NPI
- 1720435308
- Provider Legal Name
- TEXAS SOUTHERN UNIVERSITY
- Other Organization Name
- TEXAS SOUTHERN UNIVERSITY SPORTS MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3100 CLEBURNE ST HOUSTON, TX 77004
- Location Phone
- (713) 313-7011
- Mailing Address
- 5050 SPRING VALLEY RD DALLAS, TX 75244
- Mailing Phone
- (972) 367-4845
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-24-2016
- Last Update Date
- 05-24-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- N3308
- License State
- TX
- Taxonomy Description
- An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2181304
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- March 31, 2024
- Certificate Expiration Date
- March 30, 2026
- Laboratory Director
- TERIYA RICHMOND
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Texas Southern University Sports Medicine in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 4 | 3 | 5 | 3 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 8 | 3 | 10 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 8 + 3 + 1 + 0 + 3 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1720435308 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1205149606 | MR. JOHN WESLEY HARVEY MS,LAT,ATC Individual | Specialist/Technologist (Athletic Trainer) | 3100 CLEBURNE ST HOUSTON, TX 77004 (713) 313-7123 |
| 1669785853 | TEXAS SOUTHERN UNIVERSITY Organization | Clinic/Center (Student Health) | 3100 CLEBURNE ST STUDENT HEALTH CENTER HOUSTON, TX 77004 (713) 313-7173 |
| 1215533146 | DR. WILLIE CAPERS II PHARMD Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 3100 CLEBURNE ST HOUSTON, TX 77004 (713) 313-1232 |
| 1205562451 | EMANI ANGEL GASPER Individual | Student in an Organized Health Care Education/Training Program | 3100 CLEBURNE ST HOUSTON, TX 77004 (713) 313-7444 |
| 1548996952 | COURTNEY REED Individual | Student in an Organized Health Care Education/Training Program | 3100 CLEBURNE ST HOUSTON, TX 77004 (713) 313-7011 |
| 1013561778 | JOSLYN LOVE Individual | Student in an Organized Health Care Education/Training Program | 3100 CLEBURNE ST HOUSTON, TX 77004 (713) 313-7802 |
| 1023737418 | DR. AISHA MORRIS MOULTRY PHARMD Individual | Pharmacist | 3100 CLEBURNE ST COLLEGE OF PHARMACY AND HEALTH SCIENCES HOUSTON, TX 77004 (713) 313-7553 |
| 1275251498 | TY'COIA RICHARD Individual | Student in an Organized Health Care Education/Training Program | 3100 CLEBURNE ST HOUSTON, TX 77004 (713) 313-7444 |
| 1396464780 | AUTUMN IKIMI Individual | Student in an Organized Health Care Education/Training Program | 3100 CLEBURNE ST HOUSTON, TX 77004 (832) 430-0031 |
| 1447979083 | AMANDA WILLIAMS Individual | Student in an Organized Health Care Education/Training Program | 3100 CLEBURNE ST HOUSTON, TX 77004 (713) 313-4325 |
| 1669191052 | BRANDY MICHELLE ROGERS CPHT Individual | Student in an Organized Health Care Education/Training Program | 3100 CLEBURNE ST HOUSTON, TX 77004 (281) 685-1273 |
| 1083340483 | AN THIEN PHAN Individual | Counselor (Mental Health) | 3100 CLEBURNE ST HOUSTON, TX 77004 (832) 212-0165 |
| 1447986856 | ZAKIYA ATIYAH Individual | Student in an Organized Health Care Education/Training Program | 3100 CLEBURNE ST HOUSTON, TX 77004 (000) 000-0000 |
| 1477322618 | NICHOLAS DAVID ELLIS Individual | Student in an Organized Health Care Education/Training Program | 3100 CLEBURNE ST HOUSTON, TX 77004 (832) 714-7606 |
| 1922850486 | JEKEL MAGDALENE WOODS Individual | Student in an Organized Health Care Education/Training Program | 3100 CLEBURNE ST HOUSTON, TX 77004 (337) 501-8540 |
| 1336993997 | DAVION MONTREY FRANKLIN Individual | Student in an Organized Health Care Education/Training Program | 3100 CLEBURNE ST HOUSTON, TX 77004 (713) 313-7011 |
| 1841043452 | JOCELYN SYMONE ROBERSON Individual | Student in an Organized Health Care Education/Training Program | 3100 CLEBURNE ST HOUSTON, TX 77004 (713) 313-5115 |
| 1083436653 | FANESSE AWOM MUYAH Individual | Student in an Organized Health Care Education/Training Program | 3100 CLEBURNE ST HOUSTON, TX 77004 (713) 313-6700 |
| 1053133074 | MR. DANIEL AMBIORIX PENA I Individual | Student in an Organized Health Care Education/Training Program | 3100 CLEBURNE ST HOUSTON, TX 77004 (701) 301-3059 |
| 1841183274 | JEORGIA SANDERS Individual | Specialist/Technologist (Athletic Trainer) | 3100 CLEBURNE ST HOUSTON, TX 77004 (224) 522-4119 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720435308, enumerated in the NPI registry as an "organization" on May 24, 2016
The provider is located at 3100 Cleburne St Houston, Tx 77004 and the phone number is (713) 313-7011
This medical organization specializes in Orthopaedic Surgery with taxonomy code 207XX0005X with a focus in Sports Medicine
The provider's CLIA number is 45D2181304 for a "school/student health service" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on May 24, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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