| NPI | 1902927676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAEL TELLO M.D. 806-771-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX K2603) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-12-26 |