Mason, Mark E

Mason, Mark E is an sole proprietor health care provider with primary practice located at 900 E Southlake Blvd Ste 100, Southlake TX 76092-6375. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Mason, Mark E can be contacted via phone (817) 442-8900.

Contact Information

Primary practice address
900 E Southlake Blvd Ste 100 Southlake TX 76092-6375
Phone: (817) 442-8900
Fax: (817) 488-2490
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X J4330 Texas
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X J4330 Texas

Profile Details

NPI number 1255414272
LBN Legal business name Mason, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jan 11th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255414272 NPPES
Texas MEDICAID 095081802
Texas Other 7979112
Texas MEDICAID 104535302
Texas Other 118704100
Texas Other 1210606
Texas Other 10028366
Texas Other 124156

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