Individual
JASON J MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 W 15TH ST, PLANO, TX 75075-7738
(972) 596-6800
Mailing address
1820 PRESTON PARK BLVD, 1825, PLANO, TX 75093-3656
(972) 867-7862
(972) 612-1623
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
M5823
TX
2085R0202X
Diagnostic Radiology Physician
227774
MA
2085R0202X
Diagnostic Radiology Physician
Primary
M5823
TX
Other
Enumeration date
07/24/2006
Last updated
04/09/2025
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