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
Fax: (903) 793-0053
Website:

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.

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Identifiers

StateTypeNumberIssuer
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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