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SOUTH TEXAS DERMATOLOGY
NPI 1356536494
Dermatology - MOHS-Micrographic Surgery in Corpus Christi, TX

Active since September 12, 2007
4141 S. STAPLES SUITE 300, CORPUS CHRISTI, TX 78411(361) 882-5560(361) 882-6011 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2022, May 16, 2017 (2 updates tracked since 2017).

About South Texas Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH TEXAS DERMATOLOGY (NPI 1356536494) is a healthcare organization registered as a mohs-micrographic surgery in Corpus Christi, Texas and active in the NPI registry since September 2007. The organization maintains 5 additional practice locations and lists Jennifer Lynn Vincent, Prqactice Manager, as its authorized official.

NPPES Registry Identity

NPI1356536494
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameSOUTH TEXAS DERMATOLOGY PLLC
Location Address4141 S. STAPLES SUITE 300Corpus Christi, TX 78411-2929
Mailing Address4141 S. Staples Suite 300Corpus Christi, TX 78411-2929 · (361) 882-5560 · Fax (361) 882-6011
Phone(361) 882-5560
Fax(361) 882-6011
Organization SubpartNo
Authorized OfficialJennifer Lynn VincentPrqactice Manager · (361) 882-5560
Enumeration DateSeptember 12, 2007
Last NPPES UpdateJuly 14, 20222 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
✔ NPI 1356536494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in TX · J4105
Definition
The 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 tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
4141 S. STAPLES SUITE 300, Corpus Christi, TX 78411
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Other Names 1

Doing Business AsSouth Texas Dermatology

Secondary Practice Locations 5

Location 11711 W Wheeler Ave Ste 3Aransas Pass, TX 78336-4536 · Phone (361) 882-5560 · Fax (361) 882-6011
Location 21311 E General Cavazos Blvd Ste FKingsville, TX 78363-7129 · Phone (361) 882-5560 · Fax (361) 882-6011
Location 35920 Saratoga Blvd Ste 470Corpus Christi, TX 78414-4108 · Phone (361) 882-5560 · Fax (361) 882-6011
Location 413725 Northwest Blvd Ste 11Corpus Christi, TX 78410-5124 · Phone (361) 882-5560 · Fax (361) 882-6011
Location 5400 Enterprise Blvd Bldg D4Rockport, TX 78382-4341 · Phone (361) 882-5560 · Fax (361) 882-6011

Other Identifiers 4

Other0040EETX · Blue Cross Blue Shield
MedicaidTXB158324TX
Medicaid080856001TX
OtherCK7292TX · Medicare Railroad

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PAUL A REINHART P.A.
Physician Assistant (Surgical)
4141 S. STAPLES SUITE 300
CORPUS CHRISTI, TX 78411
Nueces County (361) 882-5560
NATHAN ANDREW DAVIS MD
Dermatology
4141 S. STAPLES SUITE 300
CORPUS CHRISTI, TX 78411
Nueces County (361) 882-5560
DR. WAYNE A FAGAN M.D.
Dermatology (MOHS-Micrographic Surgery)
4141 S. STAPLES SUITE 300
CORPUS CHRISTI, TX 78411
Nueces County (361) 882-5560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Texas Dermatology PLLC's NPI number?

The NPI number for South Texas Dermatology PLLC is 1356536494. It was assigned to this organization in the NPPES registry on September 12, 2007. The provider is doing business as South Texas Dermatology.

Where is South Texas Dermatology PLLC located?

South Texas Dermatology PLLC is located at 4141 S. Staples Suite 300, Corpus Christi, TX 78411. The listed phone number is (361) 882-5560.

What is South Texas Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for South Texas Dermatology PLLC was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.