Organization
DOWNTOWN DERMATOLOGY PLLC
Active
Organization
DOWNTOWN DERMATOLOGY PLLC
Active
Other names
RFSA Dermatology, Castle Hills Dermatology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY SHAFFER RAINEY MD (PRESIDENT)
(210) 901-9353
Entity
Organization
Contact information
Practice address
4118 MCCULLOUGH AVE STE 18, SAN ANTONIO, TX 78212-1905
(210) 901-9353
(210) 227-4297
Mailing address
PO BOX 17348, SAN ANTONIO, TX 78217-0348
(210) 901-9353
(210) 227-4297
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M8331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339660801
—
TX
Enumeration date
06/05/2014
Last updated
03/25/2022
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