NPI age
18 years
Enumerated 2008-01-31
● Active Type 2 · Organization
Southlake Plastic Surgery
Southlake Plastic Surgery is 1 of 618 plastic surgery organizations in Texas.
Primary specialty
Plastic Surgery
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mason
Owner
Last NPPES update
2008-01-31
Source: monthly bulk 2026-05
How this organization compares
Across 618 active plastic surgery providers in Texas.
NPI age
18 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 24% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-01Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
900 E Southlake Blvd, Ste 100
Southlake, TX 760926375
Mailing address
900 E Southlake Blvd, Ste 100
Southlake, TX 760926375
Authorized official
Mark E Mason, MD
Owner
📞 8174428900
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Robin Hall, D.O. Family Medicine NPI 1285787085
- Madiha Huq, DO Allergy & Immunology NPI 1235638933
- Allison Legare, PA-C Physician Assistant NPI 1902501620
- Rene Leon, M.D. Allergy & Immunology NPI 1639255896
- Mark Mason, MD Oral & Maxillofacial Surgery NPI 1255414272
- Caitlin Pedigo, RNFA Registered Nurse NPI 1144789934
- Alireza Shakouri, MD Allergy & Immunology NPI 1366652208
Specialties
-
Plastic Surgery PrimaryA plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
-
Oral & Maxillofacial SurgeryOral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0037EM | BCBSTX GRP NUMBER |
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.