# VAUGHN MEDICAL EQUIPMENT REPAIR SERVICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457573909
- **Authorized official:** MR. DAVID VAUGHN (PRESIDENT)
- **Authorized official phone:** (409) 833-8705

## Contact information

- **Practice address:** 810 N M L KING JR PKWY, BEAUMONT, TX 77701-1640
- **Practice address phone:** (409) 833-8705
- **Practice address fax:** (409) 833-6626
- **Mailing address:** 810 N M L KING JR PKWY, BEAUMONT, TX 77701-1640
- **Mailing address phone:** (409) 833-8705
- **Mailing address fax:** (409) 833-6626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | TX | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 08/22/2020
