Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cibolo Creek Dermatology Group

Organization Dermatology Physician · NPI 1083118111

Cibolo Creek Dermatology Group is a Dermatology Physician in Boerne, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018

Practice location Address checks out

120 Dietert Ave Bldg Ste 300
Boerne, TX 78006-2406
Phone: (830) 971-9151
Fax: (830) 331-2475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence J9523 (TX)

Record details

NPI number1083118111
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Adair — Billing · (830) 214-7960
NPI enumeratedMarch 22, 2018
Last updated in NPPESAugust 24, 2020
Certification dateAugust 24, 2020
Mailing addressPo Box 2156, Boerne, TX 78006-3602

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