Organization
TRACI VAUGHN, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI L VAUGHN M.D. (DIRECTOR)
(409) 923-1610
Entity
Organization
Contact information
Practice address
2955 HARRISON ST, SUITE 204, BEAUMONT, TX 77702-1154
(409) 923-1610
(409) 923-1611
Mailing address
2955 HARRISON, SUITE 204, BEAUMONT, TX 77702-1154
(409) 923-1610
(409) 923-1611
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
023914
LA
207Y00000X
Otolaryngology Physician
Primary
M3777
TX
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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