Individual
EDWIN S. DRAUGHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4730 COLLEGE DR, VERNON, TX 76384-4009
(940) 552-4055
Mailing address
4730 COLLEGE DR, VERNON, TX 76384-4009
(940) 552-4055
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
K5909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038501501
—
TX
Enumeration date
03/28/2007
Last updated
08/22/2008
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