Provider Demographics
NPI:1043541733
Name:VAUGHN, PATRICIA JO (RRT)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:JO
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12777 N ROCKWELL AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-2710
Mailing Address - Country:US
Mailing Address - Phone:405-717-4376
Mailing Address - Fax:405-717-4789
Practice Address - Street 1:12777 N ROCKWELL AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-2710
Practice Address - Country:US
Practice Address - Phone:405-717-4376
Practice Address - Fax:405-717-4789
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK582279E1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279E1000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredEducational