Individual
ETHAN JAMES VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-6279
Mailing address
2800 KIRBY DR APT B520, HOUSTON, TX 77098-1486
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
TX
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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