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Teresa Vaughn
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NPI Number Detailed Information
Provider Information:
Name: | Teresa Vaughn |
Gender: | F |
Provider License Number If Given: | 87705 |
NPI Information:
NPI: | 1326041351 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 5/23/2005 |
Last Update Date: | 3/10/2014 |
Provider Business Mailing Address:
Address: | 9800 CENTRE PKWY SUITE 530 Houston, TX 77036 |
Phone Number: | 7137774539 |
Fax Number: | 7135832061 |
Provider Business Practice Location Address:
Address: | 9800 CENTRE PKWY SUITE 530 Houston, TX 77036 |
Phone Number: | 7137774539 |
Fax Number: | 7135832061 |
Provider Taxonomy:
Primary: | 246ZC0007X |
Secondary (if any): | |
State: | TX |