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NPI Code Detail

MEDICARE: CAYLA VAUGHN

MEDICARE: CAYLA VAUGHN
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
1225100000XPhysical Therapist123146TX

General Provider Information

NPI Number : 1356771398
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAYLA VAUGHN
Provider Business Mailing Address
First Line : 8014 HIGHWAY 151
Second Line :
City : LA FAYETTE
State : GA
Zip : 30728-5121
Country : US
Telephone Number : 423-463-2069
Fax Number :
Provider Business Practice Location Address
First Line : 3201 RIVER PARK DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-9533
Country : US
Telephone Number : 817-386-8531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2013
Last Update Date : 11/12/2013

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Directions to “ CAYLA VAUGHN ” Practice Location

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