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South Texas Dermatology Pllc

MOHS-Micrographic Surgery Physician in Corpus Christi, TX · enumerated 2007 · authorized official Jennifer Vincent, Prqactice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356536494

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Registry record

Entity type Organization (Type 2)
Legal business name South Texas Dermatology Pllc
Other name <Unavail>
Practice address 4141 S. Staples Suite 300, Corpus Christi, TX, 78411
Phone (361) 882-5560
Fax (361) 882-6011
Enumeration date Sep 12, 2007
Last updated in NPPES Jul 14, 2022

Taxonomy & classification

207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians · License J4105 (TX) Primary

Authorized official

Name Jennifer Vincent
Title Prqactice Manager
Phone (361) 882-5560

Other identifiers

Identifier Type State Issuer
CK7292 Other TX MEDICARE RAILROAD
TXB158324 Medicaid TX -
0040EE Other TX BLUE CROSS BLUE SHIELD
080856001 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is South Texas Dermatology Pllc located?
The practice location on file with NPPES is in Corpus Christi, TX.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-14. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-14.