Thurman Ray Vaughan in Austin - Specialist

Thurman Ray Vaughan - NPI 1083838015

Thurman Ray Vaughan is a Specialist in Austin, Texas. Thurman Ray Vaughan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Thurman Ray Vaughan is 1083838015. The last update date is 2007-07-08.

Thurman Ray Vaughan's current location address is 3303 Northland Dr, Austin, Texas. You can contact this provider via phone number 5124589191 and fax number 5124582330. The mailing address for Thurman Ray Vaughan is 3303 Northland Dr, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Thurman Ray Vaughan
Address 3303 Northland Dr, Austin, Texas
Phone Number 5124589191
Fax Number 5124582330
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1083838015
Provider Enumeration Date 2007-04-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3303 Northland Dr
City Austin
State Texas (TX)
Post Code 787314945
Phone Number 5124589191
Fax Number 5124582330

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No J2828
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
85W020 TX BLUE CROSS BLUE SHIELD
J2828 TX TEXAS LICENSE NUMBER
30005344 TX RAILROAD MEDICARE
00254T TX MEDICARE GROUP ID
00N24T TX BCBS GROUP ID

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FAQs about Thurman Ray Vaughan

What is the Thurman Ray Vaughan's 1083838015?

The Thurman Ray Vaughan's NPI (National Provider Identifier) Number is 1083838015. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Thurman Ray Vaughan's facilities are geographically located?

The facilities of Thurman Ray Vaughan are physically situated at the following location: 3303 Northland Dr, Austin, TX, 787314945.

What is Thurman Ray Vaughan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Thurman Ray Vaughan is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date was the 1083838015 assigned to Thurman Ray Vaughan?

The Thurman Ray Vaughan was issued its 1083838015 on 2007-04-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Thurman Ray Vaughan most recently updated or revised?

The information pertaining to Thurman Ray Vaughan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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