Provider Demographics
NPI:1760660799
Name:WASHINGTON, VAUGHN EUGENE (BOCP, LP)
Entity Type:Individual
Prefix:MR
First Name:VAUGHN
Middle Name:EUGENE
Last Name:WASHINGTON
Suffix:
Gender:M
Credentials:BOCP, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9811 NORTH FWY
Mailing Address - Street 2:SUITE A-108
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77037-1348
Mailing Address - Country:US
Mailing Address - Phone:281-999-5394
Mailing Address - Fax:281-999-5395
Practice Address - Street 1:9811 NORTH FWY
Practice Address - Street 2:SUITE A-108
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77037-1348
Practice Address - Country:US
Practice Address - Phone:281-999-5394
Practice Address - Fax:281-999-5395
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1128224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist