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NPI Code Detail

MEDICARE: MASON W BADOUR

MEDICARE:   MASON W BADOUR
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1437001427
Entity Type Code : Individual
Provider Name (Legal Business Name) : MASON W BADOUR
Provider Business Mailing Address
First Line : 2425 HIGHWAY 121
Second Line :
City : BEDFORD
State : TX
Zip : 76021-5011
Country : US
Telephone Number : 817-510-4083
Fax Number : 817-540-5633
Provider Business Practice Location Address
First Line : 2425 HIGHWAY 121
Second Line :
City : BEDFORD
State : TX
Zip : 76021-5011
Country : US
Telephone Number : 817-540-4477
Fax Number : 817-540-5633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ MASON W BADOUR ” Practice Location

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