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Gwenvolk Infocus Inc
Medical Physician Assistant in Waskom, Texas
NPI 1992928428

Gwenvolk Infocus Inc is a Medical Physician Assistant based in Waskom, TX and is specialized in Medical. Gwenvolk Infocus Inc practices in Waskom, TX. The NPI Number for Gwenvolk Infocus Inc is 1992928428 and holds a License No. PA0126 (Texas).

The current practice location address for Gwenvolk Infocus Inc is 390 W Texas Ave, Waskom, TX and can be reached out via phone at 903-687-2500 and via fax at 903-687-3510.

Location: 390 W Texas Ave, Waskom, TX, 75692-9113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992928428
Provider Name
Gwenvolk Infocus Inc
Credential
Provider Entity Type
Organization
Address
390 W Texas Ave, Waskom, TX, 75692-9113
Phone Number
903-687-2500
Fax Number
903-687-3510
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1861484818 01 TX INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
390 W Texas Ave
City
Waskom
State
Texas
Zip
75692-9113
Phone Number
903-687-2500
Fax Number
903-687-3510
person
Provider Business Mailing Address Details
Address
390 W Texas Ave
City
Waskom
State
Texas
Zip
75692-9113
Phone Number
903-687-2500
Fax Number
903-687-3510
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA0126 (Texas)
Definition
Definition to come...
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