Individual
MASON ALLAN MODAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1135 KELLER PKWY STE 200, KELLER, TX 76248-1625
(817) 337-3636
(817) 337-3636
Mailing address
1135 KELLER PKWY STE 200, KELLER, TX 76248-1625
(817) 337-3636
(817) 337-3636
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
14576
TX
Other
Enumeration date
12/12/2020
Last updated
12/12/2020
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