Individual
DR. MICHAEL PATRICK VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.PHD.
Contact information
Practice address
115 GALLERY CIR, STE 200, SAN ANTONIO, TX 78258-3388
(210) 499-0033
(210) 404-0926
Mailing address
115 GALLERY CIRCLE STE. 200, SAN ANTONIO, TX 78258-3492
(210) 499-0033
(210) 404-0926
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
H7242
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133677801
—
TX
05
—
167435001
—
TX
Enumeration date
08/25/2005
Last updated
05/08/2023
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