WAEL TELLO (NPI# 1336138577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336138577 |
| Entity Type | Individual |
| Full Name | WAEL TELLO |
| Credential | M.D. |
| Practice Address |
4407 6th St Lubbock TX 79416-4733 |
| Practice Telephone | 8067715864 |
| Practice Fax Number | 8067719009 |
| Mailing Telephone | 8067715864 |
| Mailing Fax Number | 8067719009 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
K2603 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100045060A | 05 | |
| NM | 73124 | 05 | |
| TX | 100729604 | 05 | |
| TX | FIRSTCARE COMMERCIAL | 125321103 | 01 |
| TX | DPS | P0120662 | 01 |
| TX | 100729603 | 05 | |
| TX | HMO BLUE | 85451Z | 01 |
| TX | BC/BS | 8F0100 | 01 |
| TX | FIRSTCARE STAR | 125321102 | 01 |
| NM | PRESBYTERIAN COMMERCIAL | 73124 | 01 |
| NM | TRIWEST | A513 | 01 |
| NM | G5882 | 05 | |
| TX | DEA | BT4891392 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3601 4th St, Lubbock, TX 794309410 | 8067433150 | 8067433168 |
| Street Address |
4407 6TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-4733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272320 | Tello & Associates Pllc | Nurse Practitioner | 4407 6th St, Lubbock, TX 79416-4733 | 2020-10-14 |
| 1912475344 | Sara Vivian Tello | Family Medicine | 4407 6th St, Lubbock, TX 79416-4733 | 2018-11-03 |
| 1902927676 | Wael Tello, Md, Pa | Clinic/Center | 4407 6th St, Lubbock, TX 79416-4733 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| Find all providers in zip 79416 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871595231 | Pulmonary Associates of Lubbock LLP | Internal Medicine | 3621 22nd St., Suite 300, Lubbock, TX 79410-1302 | 2005-08-15 |
| 1588001895 | Wadih Jalil Chakkour | Internal Medicine | 3601 4th St Stop 9410, Lubbock, TX 79430-2427 | 2013-05-28 |
| 1912028622 | Brian Paul Williams | Internal Medicine | 3621 22nd St, Suite 400, Lubbock, TX 79410-1301 | 2007-04-02 |
| 1568485258 | Marque A. Hunter | Internal Medicine | 3621 22nd St., Suite 400, Lubbock, TX 79410-1302 | 2006-07-25 |
| 1225003791 | Gilbert G Berdine | Internal Medicine | 3601 4th St, 2nd Floor, Lubbock, TX 79430-9410 | 2006-02-20 |
| 1568454791 | Gary D Smith | Internal Medicine | 3621 22nd St, Ste 400, Lubbock, TX 79410-1301 | 2005-08-15 |
| 1366444721 | Shannon Turnbow | Internal Medicine | 3621 22nd St, Suite 400, Lubbock, TX 79410-1301 | 2005-08-15 |
| 1275535635 | Srinivas P Kadiyala | Internal Medicine | 3621 22nd St, Ste 400, Lubbock, TX 79410-1301 | 2005-08-15 |
| 1205838653 | Mark W Johnson | Internal Medicine | 3621 22nd St, Suite 400, Lubbock, TX 79410-1301 | 2005-08-15 |
| 1073515433 | Naidu K Chekuru | Internal Medicine | 3621 22nd St, Ste 400, Lubbock, TX 79410-1301 | 2005-08-15 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.