Wael Tello, MD, PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

K2603 Issued in TX

Legal business name

WAEL TELLO, MD, PA

Practice address

4407 6TH St
Lubbock, TX 79416-4733

Phone

(806) 771-5864

Fax

(806) 771-9009

NPI assigned

Apr 2, 2007

Last updated

Dec 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wael Tello, M.D.NPI 1336138577

Title

M.D.

Phone

(806) 771-5864

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wael Tello, M.D.

  • Pulmonary Disease Physician
  • Lubbock, TX
  • NPI 1336138577
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608940800000",
    "number": "1902927676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 6TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164733",
            "telephone_number": "806-771-5864",
            "fax_number": "806-771-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 6TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164733",
            "telephone_number": "806-771-5864",
            "fax_number": "806-771-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAEL TELLO, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A",
        "authorized_official_last_name": "TELLO",
        "authorized_official_first_name": "WAEL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "806-771-5864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "K2603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171258001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emiley Waddle
• Austin P. Wade, PSY.D.
• Bailey Ann Wade, CCC-SLP
• Lacey Marie Decker Wade
• Robrena Wade, PT
• Kathryn Wagner, LMFT
• Jessica Wahl, FNP-BC
• Bryan Waits, M.D.
• Sarah Mallard Wakefield, M.D.
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0945)

• Medical Specialty Clinic/Center in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2020; 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.