Vaughn, Adrianne Dewalt
Vaughn, Adrianne Dewalt is an sole proprietor health care provider with primary practice located at 115 Gallery Cir Ste 200 , San Antonio TX 78258-3492. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Vaughn, Adrianne Dewalt can be contacted via phone (210) 499-0033.Contact Information
Primary practice address
115 Gallery Cir Ste 200
San Antonio TX 78258-3492
Phone: (210) 499-0033
Fax: (210) 404-0926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | J1970 | Texas |
Profile Details
| NPI number | 1649263740 |
|---|---|
| LBN Legal business name | Vaughn, Adrianne Dewalt |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Nov 25th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649263740 | NPPES |
| Texas | MEDICAID | 167437601 |
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