Vaughan, Terrill Andrew

Vaughan, Terrill Andrew is an individual health care provider with primary practice located at 8230 Walnut Hill Ln Ste 514 , Dallas TX 75231-4407. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Vaughan, Terrill Andrew can be contacted via phone (214) 345-2929.

Contact Information

Primary practice address
8230 Walnut Hill Ln Ste 514 Dallas TX 75231-4407
Phone: (214) 345-2929
Fax: (214) 345-2905
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X P42740 Texas

Profile Details

NPI number 1205836038
LBN Legal business name Vaughan, Terrill Andrew
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jan 19th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205836038 NPPES
Texas Other 0020HD GROUP BCBS
Texas MEDICAID 148913001 GROUP BCBS
Texas Other A005 GROUP BCBS
Texas MEDICAID PA03083 GROUP BCBS
Texas Other 8N3607 GROUP BCBS

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