Individual
JEFF VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8111 CYPRESSWOOD DR STE 102, SPRING, TX 77379-7180
(281) 376-3900
Mailing address
5518 RIVERTREE LN, SPRING, TX 77379-6054
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21165
LICENSE#
TX
Enumeration date
08/27/2007
Last updated
08/27/2007
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