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Individual
MARK E MASON
Active
Individual
MARK E MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
J4330
TX
208200000X
Plastic Surgery Physician
J4330
TX
Other
Enumeration date
10/23/2006
Last updated
01/11/2012
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