MEDICARE: DR. GARY MASON 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	207W00000X	Ophthalmology Physician	F2344	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	742126114	OTHER	TX	TAX ID

General Provider Information

NPI Number	:	1629079777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY MASON MD

Provider Business Mailing Address
First Line	:	7777 SOUTHWEST FWY
Second Line	:	SUITE 934
City	:	HOUSTON
State	:	TX
Zip	:	77074-1802
Country	:	US
Telephone Number	:	713-988-2020
Fax Number	:	713-988-2020

Provider Business Practice Location Address
First Line	:	7777 SOUTHWEST FWY
Second Line	:	SUITE 934
City	:	HOUSTON
State	:	TX
Zip	:	77074-1802
Country	:	US
Telephone Number	:	713-988-2020
Fax Number	:	713-988-2020

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	07/15/2008

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Directions to “ DR. GARY MASON MD” Practice Location

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