Mark L Tellez, MD
NPI #1164445102 in Fort Worth, Texas
Provider Information
- NPI Number
- 1164445102
- Entity Type
- Individual
- Name
- Mark L Tellez, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Surgery
- Credential
- MD
- Enumeration Date
- Jul 25, 2006
- Last Updated
- Feb 14, 2017
Practice Location
- Address
- 1500 S MAIN ST
- Address 2
- SUITE 303
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76104-4917
- Phone
- (817) 702-1172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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