MEDICARE: DR. DAVID LARON MASON M.D.

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	208600000X	Surgery Physician	K6131	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	:	1689679540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID LARON MASON M.D.

Provider Business Mailing Address
First Line	:	2060 SPACE PARK DRIVE
Second Line	:	SUITE 202
City	:	NASSAU BAY
State	:	TX
Zip	:	77058-3676
Country	:	US
Telephone Number	:	281-333-5773
Fax Number	:	281-333-5775

Provider Business Practice Location Address
First Line	:	2060 SPACE PARK DR STE 208
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3675
Country	:	US
Telephone Number	:	281-333-5773
Fax Number	:	281-333-5775

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	11/18/2025

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