MEDICARE: TELLO & ASSOCIATES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1689272320
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TELLO & ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	4401 6TH ST STE A
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79416-4700
Country	:	US
Telephone Number	:	806-928-1144
Fax Number	:	888-762-6622

Provider Business Practice Location Address
First Line	:	4401 6TH ST STE A
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79416-4700
Country	:	US
Telephone Number	:	806-620-1767
Fax Number	:	888-762-6622

Authorized Official
Title or Position	:	OWNER/NURSE PRACTITIONER
Name	:	SARA TELLO
Credential	:
Telephone Number	:	806-928-1144

Provider Enumeration Date	:	10/14/2020
Last Update Date	:	03/26/2022

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