Gwenvolk Infocus Inc

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA0126 Issued in TX

Legal business name

GWENVOLK INFOCUS INC

Doing business as

Affordable Health Clinic

Practice address

390 W Texas Ave
Waskom, TX 75692-9113

Phone

(903) 687-2500

Fax

(903) 687-3510

NPI assigned

Apr 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kenneth L Volk, PA CNPI 1861484818

Title

Owner Director

Phone

(903) 687-2500

Specialties & licenses 1

Addresses

Other names 1

• AFFORDABLE HEALTH CLINIC Doing business as

Tax ID family

Affordable Health Care Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Gwenvolkinfocus Inc

  dba Affordable Health Care Clinic

  • Family Medicine Physician
  • Waskom, TX
  • NPI 1154514818
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Lee Volk, PA-C

  • Medical Physician Assistant
  • Waskom, TX
  • NPI 1861484818
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992928428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 W TEXAS AVE",
            "city": "WASKOM",
            "state": "TX",
            "postal_code": "756929113",
            "telephone_number": "903-687-2500",
            "fax_number": "903-687-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 W TEXAS AVE",
            "city": "WASKOM",
            "state": "TX",
            "postal_code": "756929113",
            "telephone_number": "903-687-2500",
            "fax_number": "903-687-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWENVOLK INFOCUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VOLK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "903-687-2500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA0126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFFORDABLE HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Complete Approach Hospice Care (Complete Hospice Care)
• Vanessa Renee Cox, COTA
• Alison Renee Dodson
• Nataliamarie Farr, MA, LPC
• Juanita Gahit
• Gwenvolkinfocus Inc (Affordable Health Care Clinic)
• Alisha Denise Head, COTA
• Marcellus Perris Henderson
• Shannon Griffin Johnson, CCC-SLP
• Killion's Pharmacy, LLC (Killion's Pharmacy)

• Medical Physician Assistant in Waskom, TX
• Providers in Waskom, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.