MEDICARE: USEN MASON DBA REALITY MEDICAL DISTRIBUTION AND SERVICES

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	332B00000X	Durable Medical Equipment & Medical Supplies	0091272	TX

General Provider Information

NPI Number	:	1326122771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USEN MASON DBA REALITY MEDICAL DISTRIBUTION AND SERVICES

Provider Business Mailing Address
First Line	:	6633 HILLCROFT ST
Second Line	:	SUITE 139
City	:	HOUSTON
State	:	TX
Zip	:	77081-4887
Country	:	US
Telephone Number	:	713-773-4280
Fax Number	:	713-773-4690

Provider Business Practice Location Address
First Line	:	6633 HILLCROFT ST
Second Line	:	SUITE 139
City	:	HOUSTON
State	:	TX
Zip	:	77081-4887
Country	:	US
Telephone Number	:	713-773-4280
Fax Number	:	713-773-4690

Authorized Official
Title or Position	:	OWNER
Name	:	MS. USEN E. MASON
Credential	:
Telephone Number	:	713-773-4280

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	09/30/2009

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