Individual
CHAD EDWARD MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1941 PORT LN, AMARILLO, TX 79106-2430
(806) 331-0350
(806) 331-0353
Mailing address
1941 PORT LN, AMARILLO, TX 79106-2430
(806) 331-0350
(806) 331-0353
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
130
TX
224P00000X
Prosthetist
130
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
130
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011187401
—
TX
Enumeration date
12/06/2007
Last updated
08/24/2023
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