NPI age
10 years
Enumerated 2015-10-13
● Active Type 2 · Organization
University Of Dallas
University Of Dallas is 1 of 7055 pediatrics organizations in Texas.
Primary specialty
Pediatrics
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bass
Agent
Last NPPES update
2015-10-13
Source: monthly bulk 2026-05
How this organization compares
Across 7055 active pediatrics providers in Texas.
NPI age
10 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-10Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
1845 E Northgate Dr, Maher Athletic Center
Irving, TX 750624736
Mailing address
5050 Spring Valley Rd
Dallas, TX 752443995
Authorized official
Mouzon Bass
Agent
📞 9723674845
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Corrie Bober, MS, ATC, CES Specialist/Technologist NPI 1679983191
- Amy Fisher-Smith, PH.D. Psychologist NPI 1275782427
- Monica Heckman, ATC, LAT Family Medicine NPI 1225910979
- Laurette Kugelmann, MD, MPH Pediatrics NPI 1679669576
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
-
PediatricsA pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
University of Dallas Sports Medicine
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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