MR. Gabriel S Tellez, IDC

NPI #1629108881 in Ingleside, Texas

Provider Information

NPI Number: 1629108881
Entity Type: Individual
Name: MR. Gabriel S Tellez, IDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: IDC
Enumeration Date: Mar 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1455 TICONDEROGA
Address 2: MCM CREW FEARLESS, COMCMRON 2, NAVAL STATION
City: Ingleside
State: Texas
ZIP Code: 78362-5009
Phone: (760) 271-9722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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