NPI age
14 years
Enumerated 2011-12-21
● Active Type 2 · Organization
South Texas Dermatology Pllc
South Texas Dermatology Pllc is 1 of 4038 specialist organizations in Texas.
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
Mailing address
1300 Third Street
Corpus Christi, TX 78404
Authorized official
Jennifer Lynn Vincent, CDC
Business Manager
📞 3618822338
Specialties
-
Specialist PrimaryAn 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.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
WAYNE A FAGAN MD
Practice context
Single-site organization. Only one practice location on file.
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