Individual
CHARLES RAYMOND VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2323 TEXAS ST, PECOS, TX 79772-7338
(432) 447-3551
(432) 447-5434
Mailing address
2323 TEXAS ST, PECOS, TX 79772-7338
(432) 447-3551
(432) 447-5434
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
N6084
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212559301
—
TX
01
—
P00885787
RAILROAD MEDICARE
TX
Enumeration date
06/09/2006
Last updated
08/14/2015
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