Individual
CHRISTINE MASUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 W 34TH ST # 556, AUSTIN, TX 78705
(513) 239-7587
Mailing address
1101 W 34TH ST # 556, AUSTIN, TX 78705-1907
(513) 239-7587
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R0614
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10050017
TX
Other
Enumeration date
04/23/2014
Last updated
09/27/2018
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