Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

South Texas Dermatology PLLC

Organization Specialist · NPI 1285903179

South Texas Dermatology PLLC is a Specialist in Corpus Christi, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 Third St
Corpus Christi, TX 78404
Phone: (361) 882-5560
Fax: (361) 882-6011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence J4105 (TX)

Record details

NPI number1285903179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Vincent — Business Manager · (361) 882-2338
Other names Wayne A Fagan Md
NPI enumeratedDecember 21, 2011
Last updated in NPPESDecember 21, 2011
Mailing address1300 Third Street, Corpus Christi, TX 78404

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