Individual
DR. DETLEF WENCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 595-5514
(903) 262-3715
Mailing address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 595-5514
(903) 262-3715
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
R4343
TX
207RC0000X
Cardiovascular Disease Physician
04-36793
KS
207RC0000X
Cardiovascular Disease Physician
D00000
MD
Other
Enumeration date
07/26/2005
Last updated
09/25/2025
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