Individual
ANDE MASS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7400 MERTON MINTER ST, STVHCS/ALMD/SURGICAL SERVICE/112G, SAN ANTONIO, TX 78229-4404
(210) 617-5300
(210) 949-3311
Mailing address
27114 AUTUMN SPG, BOERNE, TX 78006-5216
(830) 981-9151
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA03675
TX
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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