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Wael Tello, Md, Pa
Medical Specialty Clinic/Center in Lubbock, Texas
NPI 1902927676

Wael Tello, Md, Pa is a Medical Specialty Clinic/Center based in Lubbock, TX and is specialized in Medical Specialty. Wael Tello, Md, Pa practices in Lubbock, TX. The NPI Number for Wael Tello, Md, Pa is 1902927676 and holds a License No. K2603 (Texas).

The current practice location address for Wael Tello, Md, Pa is 4407 6Th St, Lubbock, TX and can be reached out via phone at 806-771-5864 and via fax at 806-771-9009.

Location: 4407 6Th St, Lubbock, TX, 79416-4733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902927676
Provider Name
Wael Tello, Md, Pa
Credential
Provider Entity Type
Organization
Address
4407 6Th St, Lubbock, TX, 79416-4733
Phone Number
806-771-5864
Fax Number
806-771-9009
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
171258001 05 TX
institution
Provider Business Practice Location Address Details
Address
4407 6Th St
City
Lubbock
State
Texas
Zip
79416-4733
Phone Number
806-771-5864
Fax Number
806-771-9009
person
Provider Business Mailing Address Details
Address
4407 6Th St
City
Lubbock
State
Texas
Zip
79416-4733
Phone Number
806-771-5864
Fax Number
806-771-9009
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
K2603 (Texas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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