Thushan N Desilva is a Dermatology in Boerne, Texas. Thushan N Desilva practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Thushan N Desilva is 1003824335. The last update date is 2019-03-05.
Thushan N Desilva's current location address is 120 Old San Antonio Rd, Boerne, Texas. You can contact this provider via phone number 8303314150. The mailing address for Thushan N Desilva is 120 Old San Antonio Rd, Boerne, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thushan N Desilva |
|---|---|
| Address | 120 Old San Antonio Rd, Boerne, Texas |
| Phone Number | 8303314150 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003824335 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2019-03-05 |
Provider Mailing Address Detail
| Address | 120 Old San Antonio Rd |
|---|---|
| City | Boerne |
| State | Texas (TX) |
| Post Code | 780063413 |
| Phone Number | 8303314150 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | K9763 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the unique 10-digit identification code issued to Thushan N Desilva by the Centers for Medicare & Medicaid Services?
The Thushan N Desilva has been assigned the NPI (National Provider Identifier) 1003824335 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Thushan N Desilva?
The Thushan N Desilva is physically situated at 120 Old San Antonio Rd, in the city of Boerne, state of TX, with the postal code 780063413.
What is Thushan N Desilva's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Thushan N Desilva's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
On what date did the Thushan N Desilva receive the assignment of its 1003824335 from the Centers for Medicare & Medicaid Services?
The Thushan N Desilva was issued its 1003824335 by the Centers for Medicare & Medicaid Services on 2006-08-03.
As of what date were the details pertaining to Thushan N Desilva last refreshed?
The information related to the Thushan N Desilva, including its address, specialty, and other relevant details, was last updated on 2019-03-05.
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