# VAUGHN MEDICAL LLC

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

## Provider details

- **NPI number:** 1669807327
- **Authorized official:** DAVID VAUGHN (CEO)
- **Authorized official phone:** (499) 782-8940

## Contact information

- **Practice address:** 4405 FORTUNE LN, BEAUMONT, TX 77705-4831
- **Practice address phone:** (409) 782-8940
- **Mailing address:** 4405 FORTUNE LN, BEAUMONT, TX 77705-4831
- **Mailing address phone:** (409) 782-8940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2013
- **Last updated:** 09/12/2013