P Praxis·MD
● Active Type 2 · Organization

South Texas Dermatology Pllc

Specialist·Corpus Christi, TX· NPI 1285903179 · Enumerated 2011 · 14 years on NPI
South Texas Dermatology Pllc is 1 of 4038 specialist organizations in Texas.
NPI age
14 years
Enumerated 2011-12-21
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Vincent
Business Manager
Last NPPES update
2011-12-21
Source: monthly bulk 2026-05

How this organization compares

Across 4038 active specialist providers in Texas.

NPI age
14 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-12Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
1300 Third Street
Corpus Christi, TX 78404
📞 3618825560fax 3618826011
Mailing address
1300 Third Street
Corpus Christi, TX 78404
📞 3618825560fax 3618826011

Authorized official

Jennifer Lynn Vincent, CDC
Business Manager
📞 3618822338

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    TX license #J4105 taxonomy 174400000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • WAYNE A FAGAN MD
    Type code 5 recorded 2011-12-21

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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