LACY COKER KESSLER, MD, PA
Medical Practice at Wycon Dr, Waco, TX

License number
Texas P2879
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: SARAH J ELLIOTT
Title: OFFICE MANAGER
Phone: (254) 420-0002
Address
Address
2410 Wycon Dr SUITE 204, Waco, TX 76712
National Provider ID: 1003177726
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LACY COKER KESSLER, M.D., PA

Waco, TX

Doing business as:
Lacy Coker Kessler, MD, PA<br>Lacy Coker Kessler, M.D., PA
Registration:
Apr 27, 2012
Addresses:
2420 Wycon Dr APT 403, Woodway, TX 76712 (Mailing)
2410 Wycon Dr, Waco, TX 76712
2430 Wendy Ln, Waco, TX 76710
State ID:
0801588974
Business type:
Professional Association
Medical Doctor, Obstetrician, President, Principal, Secretary, Treasurer, Vice-President, Director, Member:
Lacy Coker Kessler (Medical Doctor, Obstetrician, President, Principal, Secretary, Treasurer, Vice-President, Director, Member)
TIN:
32047800951

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