Healthcare Provider Details

I. General information

NPI: 1023154408
Provider Name (Legal Business Name): DRS. VAUGHN, SILVERBERG, AND ASSOC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 01/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 NORTH MOPAC BLDG I, SUITE 1200
AUSTIN TX
78731
US

IV. Provider business mailing address

6500 NORTH MOPAC BLDG I, SUITE 1200
AUSTIN TX
78731
US

V. Phone/Fax

Practice location:
  • Phone: 512-451-0149
  • Fax: 512-451-0977
Mailing address:
  • Phone: 512-451-0149
  • Fax: 512-451-0977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberE2912
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberH8109
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberH0817
License Number StateTX

VIII. Authorized Official

Name: CHRISTI SCHUNEK
Title or Position: DIRECTOR OF BUSINESS OPERATIONS
Credential:
Phone: 512-451-0149