Provider Demographics
NPI:1568084648
Name:VOLKMANN, MARSHA LYNN
Entity Type:Individual
Prefix:MISS
First Name:MARSHA
Middle Name:LYNN
Last Name:VOLKMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13857 US HIGHWAY 87 W STE 100
Mailing Address - Street 2:
Mailing Address - City:LA VERNIA
Mailing Address - State:TX
Mailing Address - Zip Code:78121-5921
Mailing Address - Country:US
Mailing Address - Phone:830-779-2219
Mailing Address - Fax:830-253-8908
Practice Address - Street 1:13857 US HIGHWAY 87 W STE 100
Practice Address - Street 2:
Practice Address - City:LA VERNIA
Practice Address - State:TX
Practice Address - Zip Code:78121-5921
Practice Address - Country:US
Practice Address - Phone:830-779-2219
Practice Address - Fax:830-253-8908
Is Sole Proprietor?:No
Enumeration Date:2020-05-12
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103646183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
1912400243OtherN/A