Manuel Tellez, D.O., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MANUEL TELLEZ, D.O., P.A.

Practice address

3500 W Wheatland Rd
Dallas, TX 75237-3460

Phone

(214) 947-7777

NPI assigned

Nov 26, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Manuel Tellez III, DONPI 1255473195

Title

Presdient

Phone

(179) 462-3318

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manuel Tellez III, D.O.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1255473195
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1902140262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 E BROAD ST STE 120-259",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635633",
            "telephone_number": "817-946-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373460",
            "telephone_number": "214-947-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL TELLEZ, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "TELLEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESDIENT",
        "authorized_official_telephone_number": "179-462-3318",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Griego Jr DO PA
• Manuel Griego Jr DO PA
• Manuel Griego Jr. DO PA
• Manuel Griego Jr. DO PA
• Manuel Griego, Jr. D.O., P.a.
• Cherlindra Lenell Manus, BS, QMHP
• Kangamwirai Manyanga, PMHNP-BC
• Jose Manzanilla, CRNA
• Hannia Yamil Manzano Bonfil
• Maria Manzano

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.