Individual
MATTHEW MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15813 PAUL VEGA MD DR STE 200, HAMMOND, LA 70403-1431
(985) 230-7650
(985) 230-7655
Mailing address
32311 WATERFORD CREST LN, FULSHEAR, TX 77441-3001
(281) 229-1496
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.327997
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
923770536
OUT OF STATE LICENSE
NY
Enumeration date
04/18/2017
Last updated
07/28/2021
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