Individual
PAUL A VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9080 HARRY HINES BLVD, STE 110, DALLAS, TX 75235-1720
(214) 631-7880
(214) 631-7558
Mailing address
9080 HARRY HINES BLVD, STE 110, DALLAS, TX 75235-1720
(214) 631-7880
(214) 631-7558
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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