THURMAN RAY VAUGHAN M.D. NPI 1083838015

NPI Information

NPI: 1083838015
Provider Name: THURMAN RAY VAUGHAN, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3303 NORTHLAND DR
SUITE 301
AUSTIN, TX
ZIP 78731
Phone: (512) 458-9191
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Thurman Ray Vaughan, M.D. is a specialist in Austin, TX. The provider is 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. Thurman Ray Vaughan, M.D. NPI is 1083838015. 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:

3303 NORTHLAND DR
SUITE 301
AUSTIN, TX
ZIP 78731-945
Phone: (512) 458-9191
Fax: (512) 458-2330

The NPI 1083838015 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 4/12/2007 and was last updated on 7/8/2007.

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	174400000X	Specialist		J2828	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	030005344	OTHER	TEXAS	RAILROAD MEDICARE
2	85W020	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
3	F51252	MEDICARE UPIN	TEXAS
4	00N24T	OTHER	TEXAS	BCBS GROUP ID
5	8502B1	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
6	00254T	OTHER	TEXAS	MEDICARE GROUP ID
7	J2828	OTHER	TEXAS	TEXAS LICENSE NUMBER

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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