Healthcare Provider Details

I. General information

NPI: 1306157672
Provider Name (Legal Business Name): VAUGHNS FAMILY CLINIC, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2010
Last Update Date: 07/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 DOWLING DR
RICHMOND TX
77469-5114
US

IV. Provider business mailing address

2000 DOWLING DR
RICHMOND TX
77469-5114
US

V. Phone/Fax

Practice location:
  • Phone: 281-342-1126
  • Fax: 281-342-0548
Mailing address:
  • Phone: 281-342-1126
  • Fax: 281-342-0548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SYLVESTER G. VAUGHNS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 281-342-1126