Traci Vaughn, M.D., P.a.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

M3777 Issued in TX

Legal business name

TRACI VAUGHN, M.D., P.A.

Practice address

2955 Harrison St
Suite 204
Beaumont, TX 77702-1154

Phone

(409) 923-1610

Fax

(409) 923-1611

NPI assigned

Apr 2, 2009

Last updated

Apr 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Traci L Vaughn, M.D.NPI 1902840697

Title

Director

Phone

(409) 923-1610

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Traci Lydricka Vaughn, MD

  • Otolaryngology Physician
  • Bastrop, LA
  • NPI 1902840697
  NPD (past) Authorized official

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1457593626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 HARRISON",
            "address_2": "SUITE 204",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021154",
            "telephone_number": "409-923-1610",
            "fax_number": "409-923-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 HARRISON ST",
            "address_2": "SUITE 204",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021154",
            "telephone_number": "409-923-1610",
            "fax_number": "409-923-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACI VAUGHN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "409-923-1610",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "023914",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M3777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalli Denise Totten, APRN, MSN, FNP-C
• Mary E Touchstone, SLP
• Dwight Mark Toups, M.D.,F.A.C.P.
• Tammy Toups, AGPCNP-BC
• Traci Sonn, LLC (Victory Home Care)
• Trahan Surgical Group LLC
• Donald Everett Trahan, PH.D.
• Le'Toria Precious Trahan, LPC
• Giang Khanh Tran
• Hoang Van Tran, OD

• Otolaryngology Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.