Individual
MRS. CHANDRA ANESE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1350 E LOOKOUT DR, RICHARDSON, TX 75082-4106
(972) 220-2000
Mailing address
3312 PORTSIDE LN, PLANO, TX 75023-3615
(972) 754-3502
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
211158
TX
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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