Provider Demographics
NPI:1548076656
Name:GARFIELD, MASON TAUER (PA-C)
Entity type:Individual
Prefix:MR
First Name:MASON
Middle Name:TAUER
Last Name:GARFIELD
Suffix:
Gender:M
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:8891 SUGARLAND DR APT 21202
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71115-2851
Mailing Address - Country:US
Mailing Address - Phone:318-230-1354
Mailing Address - Fax:
Practice Address - Street 1:2751 ALBERT L BICKNELL DR STE 3D
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71103-3941
Practice Address - Country:US
Practice Address - Phone:318-212-6710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant