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Individual

DR. ADRIANNE DEWALT VAUGHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
115 GALLERY CIR STE 200, SAN ANTONIO, TX 78258-3492
(210) 499-0033
(210) 404-0926
Mailing address
21314 W TEJAS TRL, SAN ANTONIO, TX 78257-1691
(210) 326-3187
(210) 404-0926

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
J1970
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167437601
TX
Enumeration date
08/24/2005
Last updated
11/25/2023
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