GWENVOLK INFOCUS INC NPI 1992928428

NPI Information

NPI: 1992928428
Provider Name: GWENVOLK INFOCUS INC

Doing Business As: AFFORDABLE HEALTH CLINIC

Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
390 W TEXAS AVE
WASKOM, TX
ZIP 75692
Phone: (903) 687-2500
Get Directions

GWENVOLK INFOCUS INC is a medical physician assistant in Waskom, TX. GWENVOLK INFOCUS INC NPI is 1992928428. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Affordable Health Clinic.

The provider's business location address is:

390 W TEXAS AVE
WASKOM, TX
ZIP 75692-113
Phone: (903) 687-2500
Fax: (903) 687-3510

The provider's authorized official is Kenneth L Volk .
The authorized official title is Owner Director and has the following contact phone number (903) 687-2500.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA0126	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1861484818	OTHER	TEXAS	INDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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