Organization
GWENVOLK INFOCUS INC
Active
Other names
AFFORDABLE HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH L VOLK PA C (OWNER DIRECTOR)
(903) 687-2500
Entity
Organization
Contact information
Practice address
390 W TEXAS AVE, WASKOM, TX 75692-9113
(903) 687-2500
(903) 687-3510
Mailing address
390 W TEXAS AVE, WASKOM, TX 75692-9113
(903) 687-2500
(903) 687-3510
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861484818
INDIVIDUAL NPI
TX
Enumeration date
04/11/2007
Last updated
08/22/2020
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