Organization
JOSEPH K VAUGHAN, JR, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH K VAUGHAN, JR. MD, PA MD (OWNER)
(903) 534-4700
Entity
Organization
Contact information
Practice address
921 SHILOH RD, SUITE C200, TYLER, TX 75703-1431
(903) 534-4700
(903) 534-4709
Mailing address
PO BOX 1169, TYLER, TX 75710-1169
(903) 534-4700
(903) 534-4709
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L5597
TX
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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