SearchNew Mexico363A00000X

Dominic Tellez, PA

NPI 1043544091 · on the registry since 2009

Practice

Address
1600 Phtorpe Road
Las Cruces, NM 88012
Phone
(575) 526-6200
Fax
(575) 526-2266

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico