Individual
MARY VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 822-4240
(832) 825-4247
Mailing address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 822-4240
(832) 825-4247
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
533624
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169066101
—
TX
Enumeration date
10/17/2006
Last updated
08/06/2013
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