Provider Demographics
NPI:1437756855
Name:VOLKER, TONYA MICHELLE (LVN)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:MICHELLE
Last Name:VOLKER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:TONYA
Other - Middle Name:MICHELLE
Other - Last Name:MCCAIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LVN
Mailing Address - Street 1:3625 BLUE CLOUD DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-0059
Mailing Address - Country:US
Mailing Address - Phone:409-218-9976
Mailing Address - Fax:
Practice Address - Street 1:3625 BLUE CLOUD DR
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-0059
Practice Address - Country:US
Practice Address - Phone:409-218-9976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX339971164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse