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NPI 1689679540

NPI 1689679540 : DAVID LARON MASON M.D. : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1689679540
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID LARON MASON M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/16/2005
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    Last Update Date     |    11/18/2025
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Provider Practice Location Address
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    Address Line         |    2060 SPACE PARK DR STE 208 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77058-3675
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    Country              |    US
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    Telephone            |    281-333-5773
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    Fax                  |    281-333-5775
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Provider Business Mailing Address
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    Address Line         |    2060 SPACE PARK DRIVE SUITE 202
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    City                 |    NASSAU BAY
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    State                |    TX
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    Zip                  |    77058-3676
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    Country              |    US
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    Telephone            |    281-333-5773
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    Fax                  |    281-333-5775
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    K6131
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    License Number State |    TX
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