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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1649263740 NPPES
Texas MEDICAID 167437601

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