Provider Demographics
NPI:1417099805
Name:VAUGHN, ROBIN GAIL (RN)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:GAIL
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16980 DALLAS PKWY
Mailing Address - Street 2:STE 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1908
Mailing Address - Country:US
Mailing Address - Phone:972-391-1915
Mailing Address - Fax:972-391-2061
Practice Address - Street 1:900 W RANDOL MILL RD
Practice Address - Street 2:STE 206
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-2562
Practice Address - Country:US
Practice Address - Phone:817-461-8327
Practice Address - Fax:817-275-2525
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX263414163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse