Individual
AMY R MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6811 AUSTIN CENTER BLVD, #300, AUSTIN, TX 78731-3166
(512) 344-0312
(512) 344-0315
Mailing address
6210 E HIGHWAY 290, AUSTIN, TX 78723-1142
(512) 483-9596
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
L7474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187059401
—
TX
05
—
187059402
—
TX
Enumeration date
01/18/2007
Last updated
05/20/2021
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