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

Clear Creek Dermatology

Organization Dermatology Physician · NPI 1013667161

Clear Creek Dermatology is a Dermatology Physician in Llano, Texas. Works from 3 locations. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

904 Ford St
Llano, TX 78643-2345
Phone: (830) 953-1700
Fax: (830) 953-1717
Show map & directions

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

Additional practice locations (2)

  • 205 W Windcrest St Ste 340, Fredericksburg, TX 78624-4478 — (830) 953-1711
  • 507 W Fm 2147 Ste 204, Marble Falls, TX 78654-6279 — (830) 953-1700

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1013667161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emily Prosise — Owner · (830) 953-1700
NPI enumeratedMarch 23, 2022
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023
Mailing address904 Ford St, Llano, TX 78643-2345