Provider Demographics
NPI:1083063168
Name:MASON, NONA
Entity Type:Individual
Prefix:
First Name:NONA
Middle Name:
Last Name:MASON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ASCENSION SETON MCCARTHY COMMUNITY HEALTH CENTER
Mailing Address - Street 2:2811 EAST 2ND STREET
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702
Mailing Address - Country:US
Mailing Address - Phone:512-324-4930
Mailing Address - Fax:
Practice Address - Street 1:ASCENSION SETON MCCARTHY COMMUNITY HEALTH CENTER
Practice Address - Street 2:2811 EAST 2ND STREET
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702
Practice Address - Country:US
Practice Address - Phone:512-324-4930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-08
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX612447363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily