Ricky Lee Vaughn, | |
217 Edwards, Merkel, TX 79536-3803 | |
(325) 928-0014 | |
(325) 928-1175 |
Full Name | Ricky Lee Vaughn |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 217 Edwards, Merkel, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043829179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 80145 (Texas) | Primary |
Entity Name | Shackelford County Community Resource Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194804278 PECOS PAC ID: 8628027174 Enrollment ID: O20050121000572 |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
Mailing Address | Practice Location Address |
---|---|
Ricky Lee Vaughn, 1749 Pine St, Abilene, TX 79601-3043 Ph: (325) 696-0600 | Ricky Lee Vaughn, 217 Edwards, Merkel, TX 79536-3803 Ph: (325) 928-0014 |
Lindsay Alyn Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Edwards, Merkel, TX 79536 Phone: 325-928-0014 | |
Holly Annette Biggs, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Edwards, Merkel, TX 79536 Phone: 325-928-0014 | |
Janeen Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 N West St, Merkel, TX 79536 Phone: 627-478-3829 |