Cibolo Creek Dermatology Group

NPI #1083118111 in Boerne, Texas

Provider Information

NPI Number: 1083118111
Entity Type: Organization
Organization Name: Cibolo Creek Dermatology Group
Primary Specialty: Dermatology
Enumeration Date: Mar 22, 2018
Last Updated: Aug 24, 2020

Practice Location

Address: 120 DIETERT AVE BLDG STE 300
City: Boerne
State: Texas
ZIP Code: 78006-2406
Phone: (830) 971-9151

Authorized Official

Name: MS. MARY ADAIR
Title: BILLING
Phone: (830) 214-7960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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