MEDICARE: MR. VAUGHN EUGENE WASHINGTON B.O.C.P., L.P.

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
1	224P00000X	Prosthetist	1128	TX

General Provider Information

NPI Number	:	1760660799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. VAUGHN EUGENE WASHINGTON B.O.C.P., L.P.

Provider Business Mailing Address
First Line	:	9811 NORTH FWY
Second Line	:	SUITE A-108
City	:	HOUSTON
State	:	TX
Zip	:	77037-1348
Country	:	US
Telephone Number	:	281-999-5394
Fax Number	:	281-999-5395

Provider Business Practice Location Address
First Line	:	9811 NORTH FWY
Second Line	:	SUITE A-108
City	:	HOUSTON
State	:	TX
Zip	:	77037-1348
Country	:	US
Telephone Number	:	281-999-5394
Fax Number	:	281-999-5395

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2008
Last Update Date	:	01/31/2008

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