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NPI Code Detail

MEDICARE: ALAN VAUGHT M.D.

MEDICARE: ALAN VAUGHT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianN7890TX
2207Q00000XFamily Medicine Physician08439756TX

General Provider Information

NPI Number : 1396989026
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN VAUGHT M.D.
Provider Business Mailing Address
First Line : PO BOX 847408
Second Line :
City : DALLAS
State : TX
Zip : 75284-7408
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7556 HONEYSUCKLE
Second Line :
City : TEMPLE
State : TX
Zip : 76502-5631
Country : US
Telephone Number : 254-742-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2009
Last Update Date : 09/01/2011

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