Organization
MAD DOG ENTERPRISES LP
Active
Other names
Affordable Health Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LEE VOLK PA-C (VICE PRESIDENT)
(903) 687-2500
Entity
Organization
Contact information
Practice address
390 W TEXAS AVE, WASKOM, TX 75692-9113
(903) 687-2500
Mailing address
390 W TEXAS AVE, WASKOM, TX 75692-9113
(903) 687-2500
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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