Provider Demographics
NPI:1386099315
Name:VAUGHAN, ERIN
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:VAUGHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 KIRBY DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-6320
Mailing Address - Country:US
Mailing Address - Phone:713-800-8800
Mailing Address - Fax:713-800-8849
Practice Address - Street 1:2535 KIRBY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-6320
Practice Address - Country:US
Practice Address - Phone:713-800-8800
Practice Address - Fax:713-800-8849
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL20901388363LF0000X
TXAP130505363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily