Individual
DR. CARLA CECILIA WANG-KOCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
912 S FLEISHEL AVE, TYLER, TX 75701-2018
(903) 592-6901
(903) 595-2571
Mailing address
912S FLEISHEL AVE, TYLER, TX 75701-2018
(903) 592-6901
(903) 592-9986
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Q6587
TX
207RP1001X
Pulmonary Disease Physician
Primary
Q6587
TX
Other
Enumeration date
09/03/2009
Last updated
11/21/2019
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