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Individual

LUIS RUBEN TELLEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN-CNP

Contact information

Practice address
11400 EDGEMERE BLVD APT 3302, EL PASO, TX 79936-2428
(915) 244-8531
Mailing address
11400 EDGEMERE BLVD APT 3302, EL PASO, TX 79936-2428

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1064161
TX

Other

Enumeration date
12/30/2021
Last updated
12/30/2021
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