South Texas Physician Group, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTH TEXAS PHYSICIAN GROUP, PLLC

Practice address

205 W Windcrest St Ste 130
Fredericksburg, TX 78624-4478

Phone

(615) 373-7600

NPI assigned

Jan 17, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicholas Wadlington

Title

Group Vice President

Phone

(615) 372-7332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  • Rehabilitation Hospital Unit
  • San Antonio, TX
  • NPI 1134166069

  Member Of

  NPD member

Locations

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Abel, MD

  • Rheumatology Physician
  • Fredericksburg, TX
  • NPI 1841270204
  Medicare reassignment Care Compare group NPD
• Andrew N Bowser, MD

  • Vascular Surgery Physician
  • Fredericksburg, TX
  • NPI 1013950567
  Medicare reassignment Care Compare group NPD
• Rodrigo David Cantu, M.D.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1659340982
  Medicare reassignment Care Compare group NPD
• Rose Evlynn Cortina, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Fredericksburg, TX
  • NPI 1982022802

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Traci Doerre

  • Nurse Practitioner
  • Fredericksburg, TX
  • NPI 1053859819
  Medicare reassignment Care Compare group NPD
• Emily J Evans, MS, RN, FNP-BC

  • Family Nurse Practitioner
  • Fredericksburg, TX
  • NPI 1033366109
  Medicare reassignment Care Compare group NPD
• Christopher Allen Fincke, M.D.

  • Gastroenterology Physician
  • Fredericksburg, TX
  • NPI 1164492443
  Medicare reassignment Care Compare group NPD
• Bertha Gaytan, MD

  • Family Medicine Physician
  • Boerne, TX
  • NPI 1912162033
  Medicare reassignment Care Compare group NPD
• Christopher Lance Love, MD

  • Surgery Physician
  • Fredericksburg, TX
  • NPI 1902860703
  Medicare reassignment Care Compare group NPD
• Ralph George Menard Jr., MD

  • Interventional Pain Medicine Physician
  • Fredericksburg, TX
  • NPI 1407876014
  Medicare reassignment Care Compare group NPD
• Kelly N Seals, ACNP-BC

  • Nurse Practitioner
  • Fredericksburg, TX
  • NPI 1063855757
  Medicare reassignment Care Compare group NPD
• Abigail Arnold Simpson, PA-C

  • Physician Assistant
  • Fredericksburg, TX
  • NPI 1730631276
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1952016685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W WINDCREST ST STE 130",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244478",
            "telephone_number": "615-373-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS PHYSICIAN GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "WADLINGTON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-7332"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Arnold Simpson, PA-C
• Sean Scott Simpson, MD, MS
• Raymond Smith, M.D.
• Stephen Lynn Smith, D.O.
• SNH Longhorn Tenant LLC
• Jasmine Spivey
• Kristi Ann Stafford, MD
• Sheryl Stafford, BCBA
• Jay S Stauffer, MD
• STB Medical Consultants, P.a.

• Internal Medicine Physician in Fredericksburg, TX
• Providers in Fredericksburg, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.