Gwenvolk Infocus Inc
Organization Active NPI Medical Physician Assistant · Waskom, TX
NPI 1992928428 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992928428
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA0126 (TX)
- Legal business name
- GWENVOLK INFOCUS INC
- Practice address
- 390 W Texas Ave
Waskom, TX 75692-9113 - Phone
- (903) 687-2500
- Fax
- (903) 687-3510
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Kenneth L Volk, PA C
- Title
- Owner Director
- Phone
- (903) 687-2500
Corporate family (same tax ID) 1
Practitioners 1
-
Kenneth Lee Volk, PA-C
National Provider Directory
- Tax ID family
- Affordable Health Care Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant |
363AM0700X | PA0126 | TX | 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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861484818 | Other | TX | INDIVIDUAL NPI |
Other names
- AFFORDABLE HEALTH CLINIC
Other providers in Waskom, TX
- Complete Approach Home Health Care, LLC
- Complete Approach Hospice Care
- Vanessa Renee Cox
- Alison Renee Dodson
- Nataliamarie Farr
- Gwenvolkinfocus Inc
- Alisha Denise Head
- Marcellus Perris Henderson
- Shannon Griffin Johnson
- Killion'S Pharmacy, LLC
All providers in Waskom, TX · Medical Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.