Organization
BACCHUS & VAUGHAN NEUROLOGY ASSOC., LLP
Active
Organization
BACCHUS & VAUGHAN NEUROLOGY ASSOC., LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J VAUGHAN M.D. (OWNER)
(325) 704-5120
Entity
Organization
Contact information
Practice address
602 HICKORY ST, WEST SUITE, ABILENE, TX 79601-5044
(325) 704-5120
(325) 704-5123
Mailing address
602 HICKORY ST, WEST SUITE, ABILENE, TX 79601-5044
(325) 704-5120
(325) 704-5123
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085582701
—
TX
Enumeration date
03/07/2007
Last updated
08/26/2015
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