Individual
DR. JOHN W VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 E SAN ANTONIO ST, VICTORIA, TX 77901-6060
(361) 575-7441
Mailing address
125 CATALINA CT, KERRVILLE, TX 78028-7010
(830) 896-0715
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
F4631
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139635020
—
TX
01
—
P00178037
RAILROAD MEDICARE
—
Enumeration date
01/26/2007
Last updated
01/09/2019
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