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Individual

ELIZABETH VAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4501 JOE RAMSEY BLVD E, SUITE 130, GREENVILLE, TX 75401-7836
(903) 455-7538
(903) 455-7548
Mailing address
331 SHEPARDS HILL DR, ROCKWALL, TX 75087-2850
(214) 577-5205

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1037984
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1037984
LISENCE
TX
Enumeration date
01/05/2015
Last updated
01/05/2015
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