MEDICARE: DR. CYNTHIA SUE VAUGHN D.C.

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	111N00000X	Chiropractor	4933	TX

General Provider Information

NPI Number	:	1114993375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA SUE VAUGHN D.C.

Provider Business Mailing Address
First Line	:	2500 W WILLIAM CANNON DR
Second Line	:	SUITE 205
City	:	AUSTIN
State	:	TX
Zip	:	78745-5257
Country	:	US
Telephone Number	:	512-445-3366
Fax Number	:	512-444-8283

Provider Business Practice Location Address
First Line	:	2500 W WILLIAM CANNON DR
Second Line	:	SUITE 205
City	:	AUSTIN
State	:	TX
Zip	:	78745-5257
Country	:	US
Telephone Number	:	512-445-3366
Fax Number	:	512-444-8283

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

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	05/07/2012

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