Dr. Detlef Wencker
Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
2401 S 31st St
Temple
, Texas 76508-1544
Dr. Detlef Wencker
Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
2401 S 31st St
Temple
, Texas 76508-1544
(254) 724-2111
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About
Features
Specialties
- Advanced Heart Failure and Transplant Cardiologist
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Detlef Wencker
- Po Box 844658
- Dallas, TX
- Zip : 75284-4658
- Phone : (254) 724-2111
Second Address
- Dr. Detlef Wencker
- 2401 S 31st St
- Temple, TX
- Zip : 76508-1544
- Phone : (254) 724-2111
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Is Dr. Detlef Wencker a sole practitioner?
Is Dr. Detlef Wencker accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | R4343 | TX |
| N | 207RC0000X | Internist - Cardiovascular Disease | 04-36793 | KS |
| N | 207RC0000X | Internist - Cardiovascular Disease | D00000 | MD |
National Provider Identifier
| NPI | 1285634881 |
|---|---|
| Provider Name | Dr. Detlef Wencker |
| First Address | Dallas, TX 75284-4658 |
| Second Address | Temple, TX 76508-1544 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2005 |
| Last Update Date | 02/02/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001406116 | (05) | CT |
| 010040611CT02 | BLUE CROSS BLUE SHIELD (01) | CT |
| 040611 | CONNECTICARE (01) | CT |
| 3787093 | AETNA (01) | CT |
| P00212817 | RAILROAD MEDICARE (01) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.