Individual
GONZALO TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 E 51ST ST, AUSTIN, TX 78723-3434
(512) 474-2662
Mailing address
1801 E 51ST ST, AUSTIN, TX 78723-3434
(512) 474-2662
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
156612
TX
Other
Enumeration date
04/09/2021
Last updated
08/17/2022
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