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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 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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