Pearson, Madora Dorie Mason
Pearson, Madora Dorie Mason is an individual health care provider with primary practice located at 4824 Mcknight Rd , Texarkana TX 75503-0935. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Pearson, Madora Dorie Mason can be contacted via phone (903) 793-6135.Contact Information
Primary practice address
4824 Mcknight Rd
Texarkana TX 75503-0935
Phone: (903) 793-6135
Fax: (903) 793-0053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 107168 | Texas |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 107168 | Texas |
Profile Details
| NPI number | 1174620850 |
|---|---|
| LBN Legal business name | Pearson, Madora Dorie Mason |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2006 |
| Last updated | Jun 9th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174620850 | NPPES |
| Texas | Other | 046679 | UNITED HEALTHCARE |
| Texas | Other | 1257421 | UNITED HEALTHCARE |
| Texas | MEDICAID | 122049721 | UNITED HEALTHCARE |
| Texas | MEDICAID | 004487703 | UNITED HEALTHCARE |
| Texas | Other | 871T52 | UNITED HEALTHCARE |
| Texas | MEDICAID | 004487701 | UNITED HEALTHCARE |
| Texas | MEDICAID | 004487704 | UNITED HEALTHCARE |
| Texas | Other | 8T6174 | UNITED HEALTHCARE |
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