OrganizationActive
Clear Creek Dermatology
NPI 1013667161 · Dermatology Physician · Llano, TX
Provider details
- NPI number
- 1013667161
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Emily Prosise, Owner(830) 953-1700
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
904 Ford St
Llano, TX 78643-2345
Phone: (830) 953-1700
Fax: (830) 953-1717
Street-level locationGet directions
Mailing address
904 Ford St
Llano, TX 78643-2345
Additional practice locations (2)
- 205 W Windcrest St Ste 340Fredericksburg, TX 78624-4478Phone: (830) 953-1711Fax: (830) 953-1717
- 507 W Fm 2147 Ste 204Marble Falls, TX 78654-6279Phone: (830) 953-1700Fax: (830) 953-1717
Registry dates
- Enumerated
- 2022-03-23
- Last updated
- 2023-09-13
- Certified
- 2023-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.