MEDICARE: LINDA MASON LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	201140	TX

General Provider Information

NPI Number	:	1154523439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA MASON LMFT

Provider Business Mailing Address
First Line	:	6021 MORRISS RD STE 113
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-3764
Country	:	US
Telephone Number	:	469-635-2200
Fax Number	:	972-874-0523

Provider Business Practice Location Address
First Line	:	6021 MORRISS RD STE 113
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-3764
Country	:	US
Telephone Number	:	469-635-2200
Fax Number	:	972-874-0523

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	07/08/2007

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