Nathan Lee Vaughn, | |
410 N Hancock Ave, Odessa, TX 79761-5140 | |
(432) 279-0905 | |
Not Available |
Full Name | Nathan Lee Vaughn |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 410 N Hancock Ave, Odessa, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821674151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1032693 (Texas) | Primary |
Entity Name | Providence Physician Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760919880 PECOS PAC ID: 8022354638 Enrollment ID: O20190117002679 |
Mailing Address | Practice Location Address |
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Nathan Lee Vaughn, 410 N Hancock Ave, Odessa, TX 79761-5140 Ph: (432) 279-0905 | Nathan Lee Vaughn, 410 N Hancock Ave, Odessa, TX 79761-5140 Ph: (432) 279-0905 |
Sandra Nieto, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4060 Medical Park Dr, Odessa, TX 79765 Phone: 432-582-2882 Fax: 432-582-2884 | |
Tiffany L Vaught, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 605 E 4th St Ste 203, Odessa, TX 79761 Phone: 432-617-8329 | |
Florenda De Guzman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 N Tom Green, Odessa, TX 79761 Phone: 432-580-9876 Fax: 432-580-9877 | |
Mrs. Sarah Joy Bender, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 432-550-1000 | |
Mrs. Cryselda Ann Russell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 608 N Muskingum Ave, Odessa, TX 79761 Phone: 432-580-9168 Fax: 432-580-8221 | |
Abidemi Yemisi Adeniran, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-2401 Fax: 432-640-4778 | |
Morris Al Smith, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Shiloh Rd, Odessa, TX 79762 Phone: 432-552-7913 |