MEDICARE: DR. MARCOS VINCENT MASSON MD

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
1	207XS0106X	Orthopaedic Hand Surgery Physician	J1304	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134123664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCOS VINCENT MASSON MD

Provider Business Mailing Address
First Line	:	1200 BINZ ST
Second Line	:	100
City	:	HOUSTON
State	:	TX
Zip	:	77004-6900
Country	:	US
Telephone Number	:	713-520-1210
Fax Number	:	713-400-8302

Provider Business Practice Location Address
First Line	:	1200 BINZ ST
Second Line	:	100
City	:	HOUSTON
State	:	TX
Zip	:	77004-6900
Country	:	US
Telephone Number	:	713-520-1210
Fax Number	:	713-400-8302

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	12/23/2019

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