Tello, Wael

Tello, Wael is an individual health care provider with primary practice located at 4407 6Th St , Lubbock TX 79416-4733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Tello, Wael can be contacted via phone (806) 771-5864.

Contact Information

Primary practice address
4407 6Th St Lubbock TX 79416-4733
Phone: (806) 771-5864
Fax: (806) 771-9009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X K2603 Texas

Profile Details

NPI number 1336138577
LBN Legal business name Tello, Wael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336138577 NPPES
New Mexico MEDICAID 73124
New Mexico Other 85451Z
New Mexico Other 125321102
New Mexico Other 73124
New Mexico Other P0120662
New Mexico MEDICAID 100045060A
New Mexico Other 125321103
New Mexico MEDICAID 100729604
New Mexico Other 8F0100
New Mexico Other A513
New Mexico MEDICAID 100729603
New Mexico MEDICAID G5882

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