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Individual

STARR LEGENE VAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7424 GREENVILLE AVE, SUITE 206, DALLAS, TX 75231-4534
(214) 363-2004
(214) 696-2091
Mailing address
7424 GREENVILLE AVE, SUITE 206, DALLAS, TX 75231-4534
(214) 363-2004
(214) 696-2091

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
231579
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14837301
TPI
TX
Enumeration date
12/22/2006
Last updated
01/07/2011
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