Individual
MR. DERRICK MASON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RKT
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
200 BLUE GABLE RD, APT. 410, HATTIESBURG, MS 39401-3004
(601) 896-1983
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1906
MS
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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