Healthcare Provider Details

I. General information

NPI: 1104981737
Provider Name (Legal Business Name): WILLIAM LEE MASON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

POB 1437 SLOT H-61 ARKANSAS DEPT OF HEALTH
LITTLE ROCK AR
72203-1437
US

IV. Provider business mailing address

5209 EDGEWOOD RD
LITTLE ROCK AR
72207-5413
US

V. Phone/Fax

Practice location:
  • Phone: 501-280-4127
  • Fax: 501-280-4140
Mailing address:
  • Phone: 501-663-3902
  • Fax: 501-280-4140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberC-4212
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberC-4212
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: