Organization
NORTHEAST TEXAS WOMENS HEALTH P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER N MASON MD (PHYSICIAN/PRESIDENT)
(903) 572-4664
Entity
Organization
Contact information
Practice address
2015 MULBERRY AVE, SUITE 250, MOUNT PLEASANT, TX 75455-2312
(903) 572-4664
(903) 572-4647
Mailing address
2015 MULBERRY AVE, SUITE 250, MOUNT PLEASANT, TX 75455-2312
(903) 572-4664
(903) 572-4647
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076JY
BCBS
TX
01
—
121107
SUPERIOR HEALTH PLAN
—
05
—
155802501
—
TX
05
—
155802502
—
TX
01
—
DA9153
RAIL ROAD MEDICARE
—
Enumeration date
11/09/2005
Last updated
11/03/2015
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