Individual
DR. LISA B. MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
7400 BLANCO RD STE 100, SAN ANTONIO, TX 78216-4361
(210) 349-4424
(210) 340-8156
Mailing address
7400 BLANCO RD., STE. #100, MASTERS DENTAL GROUP, SAN ANTONIO, TX 78216
(210) 349-4424
(210) 340-8156
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
16857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86D951
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/12/2006
Last updated
11/21/2022
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