Provider Demographics
NPI:1366614802
Name:VOLANOS, EMILY ANN
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:ANN
Last Name:VOLANOS
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 1:505 W CENTER
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640
Mailing Address - Country:US
Mailing Address - Phone:512-504-3024
Mailing Address - Fax:512-504-3014
Practice Address - Street 1:505 W CENTER ST
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-9466
Practice Address - Country:US
Practice Address - Phone:512-504-3024
Practice Address - Fax:512-504-3014
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies