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Thurman Ray Vaughan, MD
Specialist in Austin, Texas
NPI 1083838015

Thurman Ray Vaughan is a Specialist based in Austin, TX. Thurman Ray Vaughan practices in Austin, TX and has the professional credentials of MD. The NPI Number for Thurman Ray Vaughan is 1083838015 and holds a License No. J2828 (Texas).

The current practice location address for Thurman Ray Vaughan is 3303 Northland Dr, Austin, TX and can be reached out via phone at 512-458-9191 and via fax at 512-458-2330.

Location: 3303 Northland Dr, Austin, TX, 78731-4945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083838015
Provider Name
Thurman Ray Vaughan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3303 Northland Dr, Austin, TX, 78731-4945
Phone Number
512-458-9191
Fax Number
512-458-2330
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85W020 01 TX BLUE CROSS BLUE SHIELD
J2828 01 TX TEXAS LICENSE NUMBER
030005344 01 TX RAILROAD MEDICARE
00254T 01 TX MEDICARE GROUP ID
00N24T 01 TX BCBS GROUP ID
institution
Provider Business Practice Location Address Details
Address
3303 Northland Dr
City
Austin
State
Texas
Zip
78731-4945
Phone Number
512-458-9191
Fax Number
512-458-2330
person
Provider Business Mailing Address Details
Address
3303 Northland Dr
City
Austin
State
Texas
Zip
78731-4945
Phone Number
512-458-9191
Fax Number
512-458-2330
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
J2828 (Texas)
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.
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