DOMINIC TELLEZ

LAS CRUCES, NM
NPI1043544091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2009-0029)
Enumeration Date2009-09-23
Last Update Date2009-09-23
Business Address
-- DOMINIC TELLEZ PA
1600 PHTORPE ROAD
LAS CRUCES, NM 88012
Phone number: 575-526-6200
Mailing Address
-- DOMINIC TELLEZ PA
PO BOX 370
HATCH, NM 87937-0370
Phone number: 575-267-3280