Individual
JAMES VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5401 EQUESTRIAN DR, GRANBURY, TX 76049-4462
(817) 573-0715
Mailing address
5401 EQUESTRIAN DR, GRANBURY, TX 76049-4462
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30033
TX
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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