Clear Creek Dermatology

NPI #1013667161 in Llano, Texas

Provider Information

NPI Number: 1013667161
Entity Type: Organization
Organization Name: Clear Creek Dermatology
Primary Specialty: Dermatology
Enumeration Date: Mar 23, 2022
Last Updated: Sep 13, 2023

Practice Location

Address: 904 FORD ST
City: Llano
State: Texas
ZIP Code: 78643-2345
Phone: (830) 953-1700

Authorized Official

Name: EMILY LIGA PROSISE, MD
Title: OWNER
Phone: (830) 953-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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