Clear Creek Dermatology

LBN: Clear Creek Dermatology
Clear Creek Dermatology is an health care organization with primary practice located at 904 Ford St , Llano TX 78643-2345. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Clear Creek Dermatology can be contacted via phone (830) 953-1700, or through Prosise, Emily Liga via phone (830) 953-1700.

Contact Information

Primary practice address
904 Ford St Llano TX 78643-2345
Fax: (830) 953-1717
Website:
Authorized official contact:
Name: Prosise, Emily Liga Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1013667161
LBN Legal business name Clear Creek Dermatology
DBA Doing business as
Authorized official Prosise, Emily Liga Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2022
Last updated Sep 13th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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