Individual
MR. MASON LUKE MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN, LD
Contact information
Practice address
6107 VIA LA CANTERA APT 251, SAN ANTONIO, TX 78256-2601
(361) 443-6409
Mailing address
6107 VIA LA CANTERA APT 251, SAN ANTONIO, TX 78256-2601
(361) 443-6409
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85072
TX
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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