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NPI Code Detail

MEDICARE: DR. JONATHAN THOMAS MASON DO

MEDICARE:  DR. JONATHAN THOMAS MASON  DO
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
1207QS0010XSports Medicine (Family Medicine) PhysicianU2262TX

General Provider Information

NPI Number : 1245887355
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN THOMAS MASON DO
Provider Business Mailing Address
First Line : 4802 STAR JASMINE DR
Second Line :
City : AUSTIN
State : TX
Zip : 78723-6059
Country : US
Telephone Number : 147-277-5222
Fax Number :
Provider Business Practice Location Address
First Line : 1900 ALDRICH ST STE 150
Second Line :
City : AUSTIN
State : TX
Zip : 78723-3597
Country : US
Telephone Number : 888-663-6331
Fax Number : 415-252-7176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2019
Last Update Date : 03/17/2025

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Directions to “ DR. JONATHAN THOMAS MASON DO” Practice Location

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