Individual
DORIS VAUGHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-7472
Mailing address
2620 PIONEER ST, FORT WORTH, TX 76119-4631
(817) 404-6093
(214) 820-8193
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
S29739
TX
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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