South Texas Dermatology Pllc
NPI #1285903179 in Corpus Christi, Texas
Provider Information
- NPI Number
- 1285903179
- Entity Type
- Organization
- Organization Name
- South Texas Dermatology Pllc
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 21, 2011
- Last Updated
- Dec 21, 2011
Practice Location
- Address
- 1300 THIRD STREET
- City
- Corpus Christi
- State
- Texas
- ZIP Code
- 78404
- Phone
- (361) 882-5560
Authorized Official
- Name
- MR. JENNIFER LYNN VINCENT, CDC
- Title
- BUSINESS MANAGER
- Phone
- (361) 882-2338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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