Individual
THOMAS H VAUGHAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1141 KELLER PKWY, SUITE A, KELLER, TX 76248-1628
(817) 741-2601
(817) 745-2601
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 745-2601
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E6189
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034841902
—
TX
Enumeration date
06/17/2006
Last updated
04/03/2013
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