NPI 1053547463
Mason Dessau Op LLC
Practice location
- Address
- 11020 Dessau Road, Austin, TX 78754-2053
- Phone
- (512) 873-2244
- Fax
- (512) 873-2249
- Mailing address
- 11020 Dessau Rd, Austin, TX 78754-2053
Authorised official
- Name
- Russell A. Clark
- Title
- Administrator
- Phone
- (512) 873-2244
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1053547463
- Entity type
- Organization
- NPI issued
- 1 Jun 2009
- Record last updated
- 30 Nov 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.