MARK L TELLEZ

FORT WORTH, TX
NPI1164445102
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: TX  L1214)
Enumeration Date2006-07-25
Last Update Date2017-02-14
Business Address
MARK L TELLEZ MD
1500 S MAIN ST SUITE 303
FORT WORTH, TX 76104-4917
Phone number: 817-702-1172
Mailing Address
MARK L TELLEZ MD
PO BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8400
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