DOWNTOWN DERMATOLOGY PLLC
Dermatology at Navarro St, San Antonio, TX

License number
Texas M8331
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: CHRISTY SHAFFER RAINEY MD
Title: PRESIDENT
Phone: (210) 901-9353
Address
Address
414 Navarro St STE 520, San Antonio, TX 78205
National Provider ID: 1013320258
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DOWNTOWN DERMATOLOGY PLLC

2 Dorchester Pl, San Antonio, TX 78209

Registration:
Apr 21, 2014
State ID:
0801978581
Business type:
Domestic Limited Liability Company (LLC)
Members:
Christy Shaffer Rainey (Member),Gordon Rainey (Member)
Agent:
Shaffer Rainey Dermatology, Pa,2 Dorchester Pl, San Antonio, TX 78209 (Physical)
TIN:
32053872001

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