Provider Demographics
NPI:1861108599
Name:VAUGHN INTERNAL MEDICINE AND PEDIATRICS OF TEXAS, PLLC
Entity type:Organization
Organization Name:VAUGHN INTERNAL MEDICINE AND PEDIATRICS OF TEXAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:325-428-7997
Mailing Address - Street 1:2507 GURLEY AVE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76706-2840
Mailing Address - Country:US
Mailing Address - Phone:325-428-7997
Mailing Address - Fax:254-651-1133
Practice Address - Street 1:903 N. IH 35
Practice Address - Street 2:SUITE 112
Practice Address - City:BELLMEAD
Practice Address - State:TX
Practice Address - Zip Code:76705
Practice Address - Country:US
Practice Address - Phone:254-335-5844
Practice Address - Fax:254-651-1133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty