Individual
STEVEN GLENN VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 MONTGOMERY RD, GRAHAM, TX 76450-4240
(520) 882-2172
(940) 521-5289
Mailing address
1301 MONTGOMERY RD, GRAHAM, TX 76450-4240
(940) 521-5412
(940) 521-5289
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
29930
TX
208600000X
Surgery Physician
Primary
Q1761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401019101
—
TX
Enumeration date
12/28/2005
Last updated
12/28/2023
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