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NPI 1205488483
● Active Type 2 · Organization
Concordia University Texas
Orthopaedic Surgery · Austin, TX · NPI 1205488483
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Enumerated 2019 · 6 years on NPI
Concordia University Texas is 1 of 311 orthopaedic surgery organizations in Texas.
NPI age
6 years
Enumerated 2019-07-09
Primary specialty
Orthopaedic Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bass
Administrator/agent
Last NPPES update
2019-07-09
Source: monthly bulk 2026-05
How this organization compares
Across 311 active orthopaedic surgery providers in Texas.
NPI age
6 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2019 → 2026
2019-07 Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
11400 Concordia University Dr
Austin, TX 787261887
📞 5123134524
Mailing address
5050 Spring Valley Rd
Dallas, TX 752443995
Authorized official
Mouzon Bass
Administrator/agent
📞 9723674845
Individual providers at this organization
4 individual providers on file at this primary practice address.
Raiza Aguilar , ATC, LAT
Specialist/Technologist
NPI 1235673823
Miranda Heuser , MS, LAT, ATC
Specialist/Technologist
NPI 1265054266
Donald Peers , MS., ATC., LAT
Specialist/Technologist
NPI 1851834113
Brian Smith , M.S., LAT, ATC, CSCS
Specialist/Technologist
NPI 1003224957
Specialties
Orthopaedic Surgery
Primary
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...
taxonomy 207XX0005X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
4 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.