MR. TERRILL ANDREW VAUGHAN PAC NPI 1205836038

NPI Information

NPI: 1205836038
Provider Name: MR. TERRILL ANDREW VAUGHAN, PAC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
8230 WALNUT HILL LN STE 514
DALLAS, TX
ZIP 75231
Phone: (214) 345-2929
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MR. Terrill Andrew Vaughan, PAC is a surgical physician assistant in Dallas, TX with 23 years of experience. MR. Terrill Andrew Vaughan, PAC NPI is 1205836038. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8230 WALNUT HILL LN STE 514
DALLAS, TX
ZIP 75231-407
Phone: (214) 345-2929
Fax: (214) 345-2905

The NPI 1205836038 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2005 and was last updated on 1/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	P42740	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8A3539	MEDICARE PIN	TEXAS
2	148913001	MEDICAID	TEXAS
3	0020HD	OTHER	TEXAS	GROUP BCBS
4	P42740	MEDICARE UPIN	TEXAS
5	00024T	MEDICARE PIN	TEXAS
6	A005	OTHER	TEXAS	TRICARE CHAMPUS
7	PA03083	MEDICAID	TEXAS
8	8N3607	OTHER	TEXAS	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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