Organization
WAEL TELLO, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAEL TELLO M.D. (M.D.)
(806) 771-5864
Entity
Organization
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
261QM2500X
Medical Specialty Clinic/Center
Primary
K2603
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171258001
—
TX
Enumeration date
04/02/2007
Last updated
12/26/2020
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