IndividualActive
Mark Mason, MD
NPI 1255414272 · Oral & Maxillofacial Surgery (D.M.D.) · Southlake, TX
Provider details
- NPI number
- 1255414272
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- J4330 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
900 E Southlake Blvd
Ste 100
Southlake, TX 76092-6375
Phone: (817) 442-8900
Fax: (817) 488-2490
Approximate (ZIP-level) locationGet directions
Mailing address
900 E Southlake Blvd
Southlake, TX 76092-6375
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2012-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.