Individual
MRS. L DENISE JOHNSON VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 MEDICAL CENTER BLVD, WEBSTER, TX 77598-4220
(281) 338-3708
Mailing address
503 HARBORSIDE WAY, KEMAH, TX 77565-2252
(281) 745-7276
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
657031
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154340982
TRICARE SOUTH
TX
05
—
142133110
—
TX
05
—
142133111
—
TX
01
—
8Y1578
BCBSTX PROVIDER NO.
TX
Enumeration date
07/19/2006
Last updated
05/14/2010
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