Mason Allan Modad
Independent Medical Examiner
1135 Keller Pkwy Ste 200
Keller
, Texas 76248-1625
Mason Allan Modad
Independent Medical Examiner
1135 Keller Pkwy Ste 200
Keller
, Texas 76248-1625
(817) 337-3636
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About
Features
Specialties
- Independent Medical Examiner
Languages spoken
- English
Location
First Address
- Mason Allan Modad
- 1135 Keller Pkwy Ste 200
- Keller, TX
- Zip : 76248-1625
- Fax : (817) 337-3636
- Phone : (817) 337-3636
Second Address
- Mason Allan Modad
- 1135 Keller Pkwy Ste 200
- Keller, TX
- Zip : 76248-1625
- Fax : (817) 337-3636
- Phone : (817) 337-3636
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NI0013X | Independent Medical Examiner | 14576 | TX |
National Provider Identifier
| NPI | 1710573928 |
|---|---|
| Provider Name | Mason Allan Modad |
| First Address | Keller, TX 76248-1625 |
| Second Address | Keller, TX 76248-1625 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/12/2020 |
| Last Update Date | 12/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.