Provider Demographics
NPI:1679833941
Name:AARON MASON MD PA
Entity Type:Organization
Organization Name:AARON MASON MD PA
Other - Org Name:IMAGO PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:CORDE
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-913-7107
Mailing Address - Street 1:15900 LA CANTERA PKWY
Mailing Address - Street 2:SUITE 20220
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78256-2422
Mailing Address - Country:US
Mailing Address - Phone:210-690-1122
Mailing Address - Fax:210-558-2095
Practice Address - Street 1:15900 LA CANTERA PKWY
Practice Address - Street 2:SUITE 20220
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78256-2422
Practice Address - Country:US
Practice Address - Phone:210-690-1122
Practice Address - Fax:210-558-2095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5358261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty