Individual
DAVID C MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2235
(817) 735-2270
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-2235
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
MB06631300
NJ
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
N8122
TX
207Q00000X
Family Medicine Physician
MB06631300
NJ
207Q00000X
Family Medicine Physician
Primary
N8122
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219786501
—
TX
05
—
219786502
—
TX
05
—
8105901
—
NJ
01
—
8CS320
BCBS
TX
01
—
8CS321
BCBS
TX
01
—
P00929176
RAILROAD MEDICARE
TX
Enumeration date
01/20/2006
Last updated
09/19/2011
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