NPI 1003824335

Thushan N Desilva, MD

Practitioner Dermatology Physician Boerne, TX

Practice location

Address: 120 Old San Antonio Rd, Boerne, TX 78006-3413
Phone: (830) 331-4150
Mailing address: 12446 West Ave Suite 200, San Antonio, TX 78216-2517

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence K9763 (TX)

Other Dermatology providers in Texas →

Registry record

NPI: 1003824335
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2006
Record last updated: 5 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.