Healthcare Provider Details

I. General information

NPI: 1306306600
Provider Name (Legal Business Name): MASON JAMES WEBB MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 NE 10TH ST STE B
OKLAHOMA CITY OK
73104-5418
US

IV. Provider business mailing address

800 NE 10TH ST STE B
OKLAHOMA CITY OK
73104-5418
US

V. Phone/Fax

Practice location:
  • Phone: 572-244-0111
  • Fax: 572-244-9984
Mailing address:
  • Phone: 572-244-0111
  • Fax: 572-244-9984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number67817
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number45945
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number67817
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: