Individual
MARCELO ERNESTO BRITO TELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1512 TEASLEY LN, DENTON, TX 76205-7282
(940) 566-5010
Mailing address
2812 DORSET, THE COLONY, TX 75056-3592
(779) 770-7011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Q1103
TX
207QA0505X
Adult Medicine Physician
Primary
Q1103
TX
Other
Enumeration date
07/06/2011
Last updated
12/22/2021
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