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1023104395 NPI number — VEETA MISHAE VAUGHN M.D.

NPI Number: 1023104395
Health Care Provider/Practitioner: VEETA MISHAE VAUGHN M.D.

Information about “1023104395” NPI (VEETA MISHAE VAUGHN M.D.) exists in 1023104395 in HTML format HTML  |  1023104395 in plain Text format TXT  |  1023104395 in PDF (Portable Document Format) PDF  |  1023104395 in an XML format XML  formats.

NPI Number : 1023104395 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023104395",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VAUGHN",
    "FirstName": "VEETA",
    "MiddleName": "MISHAE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JONES",
    "OtherFirstName": "VEETA",
    "OtherMiddleName": "MISHAE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3851 ROGER BROOKE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT SAM HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78234-4501",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-916-5000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3551 ROGER BROOKE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT SAM HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78234-4504",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-916-6100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/05/2006",
    "LastUpdateDate": "01/09/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "286500000X",
          "TaxonomyName": "Military Hospital",
          "LicenseNumber": "01061223A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "P6744",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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