Individual
WAEL TELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4407 6TH ST, LUBBOCK, TX 79416-4733
(806) 771-5864
(806) 771-9009
Mailing address
4407 6TH ST, LUBBOCK, TX 79416-4733
(806) 771-5864
(806) 771-9009
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K2603
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100045060A
—
OK
05
—
100729603
—
TX
05
—
100729604
—
TX
01
—
125321102
FIRSTCARE STAR
TX
01
—
125321103
FIRSTCARE COMMERCIAL
TX
01
—
73124
PRESBYTERIAN COMMERCIAL
NM
05
—
73124
—
NM
01
—
85451Z
HMO BLUE
TX
01
—
8F0100
BC/BS
TX
01
—
A513
TRIWEST
NM
05
—
G5882
—
NM
01
—
P0120662
DPS
TX
Enumeration date
10/20/2005
Last updated
03/07/2023
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