Gwenvolkinfocus Inc

Organization Active NPI Family Medicine Physician · Waskom, TX

NPI 1154514818 · NPPES record last updated Aug 24, 2007

Key facts

NPI
1154514818
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
GWENVOLKINFOCUS INC
Practice address
390 W Texas Ave
Waskom, TX 75692-9113
Phone
(903) 687-2500
NPI assigned
Aug 24, 2007
Organization subpart
No

Authorized official

Name
Kenneth L Volk
Title
Secretary
Phone
(903) 687-2500

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Affordable Health Care Clinic (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

390 W Texas Ave
Waskom, TX 75692-9113

Mailing address

390 W Texas Ave
Waskom, TX 75692-9113
Phone (903) 687-2500

Other names

  • Affordable Health Care Clinic Doing business as

Other providers in Waskom, TX

All providers in Waskom, TX · Family Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.