Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK E MASON, MD
Active Sole ProprietorMARK E MASON, MD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in SOUTHLAKE, Texas. NPI 1255414272 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · SOUTHLAKE, TX
Registration Details
- NPI Number
- 1255414272
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2006 (19.838567013216 yrs)
- Last Updated
- Jan 11, 2012
- Licenses
-
J4330 (TX)J4330 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
900 E SOUTHLAKE BLVDSTE 100SOUTHLAKE, TX, 760926375Browse TX providers · Browse ZIP 76092
- Phone
- 8174428900
- Fax
- 8174882490
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.