Provider Demographics
NPI:1982628616
Name:VOLLINK, JOSEPH (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:VOLLINK
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:MR
Other - First Name:JOSEPH
Other - Middle Name:
Other - Last Name:VOLLINK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:12121 RICHMOND AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2432
Mailing Address - Country:US
Mailing Address - Phone:281-558-6524
Mailing Address - Fax:281-558-9445
Practice Address - Street 1:12121 RICHMOND AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2432
Practice Address - Country:US
Practice Address - Phone:281-558-0400
Practice Address - Fax:281-558-9445
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA00628363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP11685Medicare UPIN
TX8A0901Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER