Individual
PAUL A VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
H6973
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D08P
BLUE CROSS BLUE SHIELD
TX
05
—
0325938-01
—
TX
01
—
TXB117214
MEDICARE GROUP PTAN
TX
01
—
TXB117215
MEDICARE PTAN
TX
Enumeration date
10/10/2006
Last updated
03/31/2011
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