Individual provider · Type 1 NPI

Mason Jalen Powell, MD

Student in an Organized Health Care Education/Training Program · Galveston, TX

NPI number 1285479451 Active

Practice location

301 University Blvd
Galveston, TX 77555-5302

Mailing address

13705 Seneca Lake Dr
Texas City, TX 77568-2231

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10090019 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285479451

Mason Jalen Powell, MD's National Provider Identifier is 1285479451, issued on Jun 28, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Galveston, TX. The record was last updated on Jun 28, 2024.