WAEL TELLO, MD, PA (NPI# 1902927676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902927676 |
| Entity Type | Organization |
| Organization Name | WAEL TELLO, MD, PA |
| 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 | 2007-04-02 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | DR. WAEL TELLO (M.D.) |
| Authorized Official Telephone | 8067715864 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
K2603 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 171258001 | 05 |
| Street Address |
4407 6TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-4733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336138577 | Wael Tello | Internal Medicine | 4407 6th St, Lubbock, TX 79416-4733 | 2005-10-20 |
| 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 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| 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). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720299381 | West Texas Digestive Disease Center, Pa | Clinic/Center | 5115 80th St, Lubbock, TX 79424-3017 | 2007-05-25 |
| 1336198621 | Texas Tech University Health Sciences Center Lubbock | Clinic/Center | 3601 4th St, Suite 2a100, Lubbock, TX 79430-0002 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888080 | Ameri Medical | Clinic/Center | 2301 Marsh Ln Ste 600, Plano, TX 75093-8497 | 2020-10-09 |
| 1093326969 | Origin Spine Institute LLC | Clinic/Center | 9135 Katy Fwy Ste 300, Houston, TX 77024-1619 | 2020-08-13 |
| 1164061644 | Iari | Clinic/Center | 12606 Greenville Ave Ste 190b, Dallas, TX 75243-1921 | 2019-12-31 |
| 1366081192 | Sprout Chiropractic Pllc | Clinic/Center | 3421 W William Cannon Dr Ste 145, Austin, TX 78745-5002 | 2019-12-26 |
| 1902369101 | Banerji Plastic Surgery | Clinic/Center | 11914 Astoria Blvd Ste 580, Houston, TX 77089-5975 | 2019-04-13 |
| 1831653526 | Naveli Medical Services, Pllc | Clinic/Center | 9090 Gaylord Dr Ste 200, Houston, TX 77024-2948 | 2019-01-26 |
| 1740758606 | Landry's Elite Medical Enterprise, Pllc | Clinic/Center | 3204 Melody Peak Ln, Pearland, TX 77581-2555 | 2018-11-08 |
| 1982179602 | Spring Center of Hope | Clinic/Center | 20008 Champion Forest Dr Ste 1202, Spring, TX 77379-8697 | 2018-10-09 |
| 1609378801 | Express Anesthesia & Pain Management Consultants,pllc | Clinic/Center | 6609 W Sam Houston Pkwy S Ste 101, Houston, TX 77072-1641 | 2018-03-02 |
| 1902313588 | Bbg Cosmetic and Plastic Surgery | Clinic/Center | 5930 W Parker Rd Ste 600, Plano, TX 75093-6420 | 2018-01-04 |
| Find all providers with the same taxonomy | ||||
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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.