Individual
MARK J CWIKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7301 STATE HIGHWAY 161, STE 160, IRVING, TX 75039-2816
(972) 259-4768
(972) 254-9640
Mailing address
7301 STATE HIGHWAY 161, STE 160, IRVING, TX 75039-2816
(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
05/18/2006
Last updated
08/25/2010
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