| Bacchus & Vaughan Neurology Assoc., Llp | |
|
602 Hickory St West Suite Abilene TX 79601-5044 | |
| (325) 704-5120 | |
| (325) 704-5123 |
| Full Name | Bacchus & Vaughan Neurology Assoc., Llp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 602 Hickory St, Abilene, Texas |
| Authorized Official Name and Position | Daniel J Vaughan (OWNER) |
| Authorized Official Contact | 3257045120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bacchus & Vaughan Neurology Assoc., Llp 602 Hickory St West Suite Abilene TX 79601-5044 Ph: (325) 704-5120 | Bacchus & Vaughan Neurology Assoc., Llp 602 Hickory St West Suite Abilene TX 79601-5044 Ph: (325) 704-5120 |
| NPI Number | 1700916723 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/26/2015 |
| Medicare PECOS PAC ID | 3072606946 |
|---|---|
| Medicare Enrollment ID | O20070908000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700916723 | NPI | - | NPPES |
| 085582701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Daniel J Vaughan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629142286 PECOS PAC ID: 0840236360 Enrollment ID: I20120712000860 |
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