NPI age
18 years
Enumerated 2007-09-12
● Active Type 2 · Organization
South Texas Dermatology Pllc
South Texas Dermatology Pllc is 1 of 167 dermatology organizations in Texas.
Primary specialty
Dermatology
Practice locations
6
5 secondary on file
Status
Active
No deactivations on record
Authorized official
Vincent
Prqactice Manager
Last NPPES update
2022-07-14
Source: monthly bulk 2026-05
How this organization compares
Across 167 active dermatology providers in Texas.
NPI age
18 years
≈ at median (17 yr)
Practice locations
6
5 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-09Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
4141 S. Staples Suite 300
Corpus Christi, TX 784112929
Mailing address
4141 S. Staples Suite 300
Corpus Christi, TX 784112929
Additional practice locations
5 secondary locations on file with NPPES.
Location 2
1711 W Wheeler Ave Ste 3
Aransas Pass, TX 783364536
Location 3
1311 E General Cavazos Blvd Ste F
Kingsville, TX 783637129
Location 4
5920 Saratoga Blvd Ste 470
Corpus Christi, TX 784144108
Location 5
13725 Northwest Blvd Ste 11
Corpus Christi, TX 784105124
Location 6
400 Enterprise Blvd Bldg D4
Rockport, TX 783824341
Authorized official
Jennifer Lynn Vincent, CDC
Prqactice Manager
📞 3618825560
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Nathan Davis, MD Dermatology NPI 1841443231
- Wayne Fagan, M.D. Dermatology NPI 1942206180
- Paul Reinhart, P.A. Physician Assistant NPI 1609871193
Specialties
-
Dermatology PrimaryThe highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | CK7292 | MEDICARE RAILROAD |
| 05 (TX) | TXB158324 | |
| 01 (TX) | 0040EE | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 080856001 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
South Texas Dermatology
Practice context
Multi-provider organization. 3 individual providers on file at this primary address. Plus 5 secondary practice locations.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.