Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ethan James Vaughn, CAA

Individual provider Anesthesiologist Assistant · NPI 1982388989

Ethan James Vaughn, CAA is an Anesthesiology Assistant in Houston, Texas. Qualified in 2023, 3 years ago. Practices with Baylor College of Medicine, a 1,218-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
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Practice location Address checks out

6720 Bertner Ave
Houston, TX 77030-2604
Phone: (832) 355-6279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X (TX)

Record details

NPI number1982388989
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorYes
NPI enumeratedJune 12, 2023
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023
Mailing address2800 Kirby Dr Apt B520, Houston, TX 77098-1486

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Baylor College Of Medicine — 1218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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