Healthcare Provider Details

I. General information

NPI: 1942104005
Provider Name (Legal Business Name): BRIGHTON DUANE MASON PTA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3926 TEASLEY LN UNIT 105
DENTON TX
76210-8475
US

IV. Provider business mailing address

3500 N BONNIE BRAE ST APT 4303
DENTON TX
76207-1354
US

V. Phone/Fax

Practice location:
  • Phone: 940-323-0441
  • Fax:
Mailing address:
  • Phone: 940-323-0441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2184206
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: