Individual
MISS OLIVIA STORM VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
16525 LEXINGTON BLVD STE 260, SUGAR LAND, TX 77479-2589
(800) 404-6050
Mailing address
PO BOX 700688, SAN ANTONIO, TX 78270-0688
(800) 404-6050
(866) 313-3397
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16163
TX
111NR0400X
Rehabilitation Chiropractor
Primary
16163
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16163
CHIROPRACTIC LICENSE
TX
Enumeration date
09/25/2024
Last updated
02/27/2026
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