Individual
MRS. ORA DENISE CHAPMAN-VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
12717 COUNTY ROAD 1141, TYLER, TX 75709-6105
(903) 372-7268
(903) 561-5053
Mailing address
12717 COUNTY ROAD 1141, TYLER, TX 75709-6105
(903) 372-7268
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317114
TX
164X00000X
Licensed Vocational Nurse
317114
TX
227800000X
Certified Respiratory Therapist
RCP00063878
TX
2278G1100X
General Care Certified Respiratory Therapist
RCP00063878
TX
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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