Individual
PHILLIP E MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 SPURS LN, 230B, SAN ANTONIO, TX 78240-1669
(210) 690-7400
Mailing address
21 SPURS LN, 230B, SAN ANTONIO, TX 78240-1669
(210) 690-7400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
L5039
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
35.093611
OH
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
L5039
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
L5039
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154188002
—
TX
05
—
154188003
—
TX
05
—
154188004
—
TX
05
—
2493798
—
OH
Enumeration date
10/14/2005
Last updated
05/20/2024
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