Individual
MS. MELISSA ANN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06529
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213522001
—
TX
01
—
820N63
BCBSTX
TX
01
—
P00836993
RR MEDICARE
—
Enumeration date
03/30/2010
Last updated
02/09/2016
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