# WAEL TELLO, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902927676
- **Authorized official:** DR. WAEL TELLO M.D. (M.D.)
- **Authorized official phone:** (806) 771-5864

## Contact information

- **Practice address:** 4407 6TH ST, LUBBOCK, TX 79416-4733
- **Practice address phone:** (806) 771-5864
- **Practice address fax:** (806) 771-9009
- **Mailing address:** 4407 6TH ST, LUBBOCK, TX 79416-4733
- **Mailing address phone:** (806) 771-5864
- **Mailing address fax:** (806) 771-9009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | K2603 | TX | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 12/26/2020