OrganizationActive
South Texas Dermatology PLLC
NPI 1285903179 · Specialist · Corpus Christi, TX
South Texas Dermatology PLLC is a Specialist organization in Corpus Christi, TX (NPI 1285903179).
Provider details
- NPI number
- 1285903179
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Vincent, Business Manager(361) 882-2338
- License
- J4105 (TX)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1300 Third Street
Corpus Christi, TX 78404
Phone: (361) 882-5560
Fax: (361) 882-6011
Street-level locationGet directions
Mailing address
1300 Third Street
Corpus Christi, TX 78404
Other names (DBA / former)
- Other name
- Wayne a Fagan MD
Registry dates
- Enumerated
- 2011-12-21
- Last updated
- 2011-12-21
Frequently asked questions
- What is South Texas Dermatology PLLC's NPI number?
- South Texas Dermatology PLLC's National Provider Identifier (NPI) is 1285903179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Texas Dermatology PLLC?
- South Texas Dermatology PLLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is South Texas Dermatology PLLC located?
- South Texas Dermatology PLLC's practice location on file with NPPES is 1300 Third Street, Corpus Christi, TX 78404.
- What is South Texas Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for South Texas Dermatology PLLC is (361) 882-5560.
- Who is the authorized official for South Texas Dermatology PLLC?
- The authorized official listed on South Texas Dermatology PLLC's NPPES record is Jennifer Vincent, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Texas Dermatology PLLC's NPI active?
- Yes — South Texas Dermatology PLLC's NPI (1285903179) is active in the NPPES registry as of the last update on 2011-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.