LUIS CARLOS TELLER

JBSA LACKLAND, TX
NPI1417714106
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies171000000X Military Health Care Provider
Enumeration Date2024-02-29
Last Update Date2025-03-25
Business Address
LUIS CARLOS TELLER
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-3337
Mailing Address
LUIS CARLOS TELLER
1100 WILFORD HALL LOOP
SAN ANTONIO, TX 78236-5638
Phone number: 210-292-3337
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