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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

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