| Ricky Lee Vaughn, | |
|
217 Edwards, Merkel, TX 79536-3803 | |
| (325) 928-0014 | |
| (325) 928-1175 |
| Full Name | Ricky Lee Vaughn |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 217 Edwards, Merkel, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043829179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 80145 (Texas) | Primary |
| Entity Name | Shackelford County Community Resource Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194804278 PECOS PAC ID: 8628027174 Enrollment ID: O20050121000572 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricky Lee Vaughn, 1749 Pine St, Abilene, TX 79601-3043 Ph: (325) 696-0600 | Ricky Lee Vaughn, 217 Edwards, Merkel, TX 79536-3803 Ph: (325) 928-0014 |
Lindsay Alyn Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Edwards, Merkel, TX 79536 Phone: 325-928-0014 | |
Holly Annette Biggs, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Edwards, Merkel, TX 79536 Phone: 325-928-0014 | |
Janeen Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 N West St, Merkel, TX 79536 Phone: 627-478-3829 |