Organization
MARK CWIKLA, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKI ENDICOTT (OFFICE MGR)
(972) 259-4768
Entity
Organization
Contact information
Practice address
7301 N STATE HWY 161, STE 160, IRVING, TX 75039-2811
(972) 259-4768
(972) 254-9640
Mailing address
7301 N STATE HWY 161, STE 160, IRVING, TX 75039-2811
(972) 259-4768
(972) 254-9640
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F3878
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114457802
—
TX
Enumeration date
02/01/2008
Last updated
09/10/2010
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