MEDICARE: RACHEL MASON PLASTIC SURGERY PLLC

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	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1528679578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RACHEL MASON PLASTIC SURGERY PLLC

Provider Business Mailing Address
First Line	:	5770 S DURANGO DR STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2311
Country	:	US
Telephone Number	:	702-350-5462
Fax Number	:

Provider Business Practice Location Address
First Line	:	5864 S DURANGO DR
Second Line	:	105
City	:	LAS VEGAS
State	:	NV
Zip	:	89113
Country	:	US
Telephone Number	:	702-630-6496
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	RACHEL I MASON
Credential	:	MD
Telephone Number	:	402-844-8167

Provider Enumeration Date	:	08/13/2020
Last Update Date	:	04/14/2026

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