Individual
MR. DEVAUGHN CORNELL VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7499 STANWICK DR, HOUSTON, TX 77087-6119
(713) 644-8048
(713) 649-8826
Mailing address
2711 NEWBURY CT, PEARLAND, TX 77584-7090
(210) 386-6993
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2042778
TX
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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