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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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