Mr. Derrick Mason JR.
Kinesiotherapist
7400 Merton Minter St
San Antonio
, Texas 78229-4404
Mr. Derrick Mason JR.
Kinesiotherapist
7400 Merton Minter St
San Antonio
, Texas 78229-4404
(601) 896-1983
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About
Features
Specialties
- Kinesiotherapist
Languages spoken
- English
Location
First Address
- Mr. Derrick Mason JR.
- 200 Blue Gable Rd Apt. 410
- Hattiesburg, MS
- Zip : 39401-3004
- Phone : (601) 896-1983
Second Address
- Mr. Derrick Mason JR.
- 7400 Merton Minter St
- San Antonio, TX
- Zip : 78229-4404
- Phone : (210) 617-5300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 226300000X | Kinesiotherapist | 1906 | MS |
National Provider Identifier
| NPI | 1669807400 |
|---|---|
| Provider Name | Mr. Derrick Mason JR. |
| First Address | Hattiesburg, MS 39401-3004 |
| Second Address | San Antonio, TX 78229-4404 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/09/2013 |
| Last Update Date | 12/09/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.