SOUTH TEXAS DERMATOLOGY,PLLC
Osteopathic Medicine in Corpus Christi, TX

License number
Texas J4105
Category
Osteopathic Medicine
Type
MOHS-Micrographic Surgery
Owner
Name: MRS. JENNIFER LYNN VINCENT CDC
Title: OFFICE MANAGER
Phone: (361) 882-5560
Address
Address
4141 S. Staples SUITE 300, Corpus Christi, TX 78411
National Provider ID: 1356536494
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SOUTH TEXAS DERMATOLOGY, PLLC

Corpus Christi, TX

Industry:
Dermatologist
Doing business as:
South Texas Dermatology - Nathan A Davis MD
Registration:
Nov 15, 2011
Phone:
(361) 882-5560 (Phone)
Description:
There are 2 doctors at this site. Surgery is not performed at this site. Average patient volume is 25 patients per day. To see if this physician is board certified please visit www.abms.org
Addresses:
4141 S Staples St STE 300, Corpus Christi, TX 78411 (Mailing)
1400 Ocean Dr, Corpus Christi, TX 78404
1300 3 St, Corpus Christi, TX 78404
State ID:
0801507430
Business type:
Domestic Limited Liability Company (LLC)
Director, Managers:
Nathan A Davis (Director), 4141 S Staples St, Corpus Christi, TX 78411,Wayne A Fagan (Director, Manager), 1400 Ocean Dr, Corpus Christi, TX 78404
Agent:
Wayne Fagan,4141 S Staples #300, Corpus Christi, TX 78411 (Physical)
TIN:
32045655613
Service area:
Storefront
Categories:
Dermatology Physicians & Surgeons
Open Hours:
Mon-Fri 8:00 AM-5:00 PM

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