| Manuel Tellez, D.o., P.a. | |
|
3500 W Wheatland Rd Dallas TX 75237-3460 | |
| (214) 947-7777 | |
| Not Available |
| Full Name | Manuel Tellez, D.o., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3500 W Wheatland Rd, Dallas, Texas |
| Authorized Official Name and Position | Manuel Tellez (PRESDIENT) |
| Authorized Official Contact | 1794623318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel Tellez, D.o., P.a. 3540 E Broad St Ste 120-259 Mansfield TX 76063-5633 Ph: (817) 946-2331 | Manuel Tellez, D.o., P.a. 3500 W Wheatland Rd Dallas TX 75237-3460 Ph: (214) 947-7777 |
| NPI Number | 1902140262 |
|---|---|
| Provider Enumeration Date | 11/26/2012 |
| Last Update Date | 02/11/2021 |
| Medicare PECOS PAC ID | 0446495253 |
|---|---|
| Medicare Enrollment ID | O20130327000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902140262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Manuel Tellez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255473195 PECOS PAC ID: 5890930622 Enrollment ID: I20130328000071 |
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