Most Relevant Information
Provider Data
| NPI Number: | 1003300617 |
| Provider Name: | MASON MARCUS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 276344 |
Most Important Dates
| Enumeration Date: | 06/18/2018 |
| Last Updated: | 03/30/2022 |
Provider Practice Location
5323 HARRY HINES BLVD
DALLAS
TX
753905400
Practice Location Phone/Fax
| Phone: | 2146458000 |
| Fax: |
Provider Mailing Location
2844 ALDEN AVE
DALLAS
TX
752112719
Provider Mailing Phone/Fax
| Phone: | 3128488910 |
| Fax: |