Organization Active NPI

Vaughn Medical Equipment Repair Service LLC

  • Durable Medical Equipment & Medical Supplies
  • Beaumont, TX
National Provider Identifier
1457573909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VAUGHN MEDICAL EQUIPMENT REPAIR SERVICE LLC
Practice address
810 N M L King Jr Pkwy
Beaumont, TX 77701-1640
Phone
(409) 833-8705
Fax
(409) 833-6626
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David Vaughn
Title
President
Phone
(409) 833-8705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X TX Primary

Addresses

Primary practice location

810 N M L King Jr Pkwy
Beaumont, TX 77701-1640

Mailing address

810 N M L King Jr Pkwy
Beaumont, TX 77701-1640
Phone (409) 833-8705

National Provider Directory

National Provider Directory
Tax ID family
Vaughn Medical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

810 N M L King Jr Pkwy
Beaumont, TX 77701
Phone (409) 833-8705

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457573909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N M L KING JR PKWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777011640",
            "telephone_number": "409-833-8705",
            "fax_number": "409-833-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N M L KING JR PKWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777011640",
            "telephone_number": "409-833-8705",
            "fax_number": "409-833-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAUGHN MEDICAL EQUIPMENT REPAIR SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-833-8705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.