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Organization
MANUEL TELLEZ, D.O., P.A.
Active
Organization
MANUEL TELLEZ, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL TELLEZ III DO (PRESDIENT)
(179) 462-3318
Entity
Organization
Contact information
Practice address
3500 W WHEATLAND RD, DALLAS, TX 75237-3460
(214) 947-7777
Mailing address
3540 E BROAD ST STE 120-259, MANSFIELD, TX 76063-5633
(817) 946-2331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
02/11/2021
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