Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUIS CARLOS TELLER
Active Sole ProprietorLUIS CARLOS TELLER is a Physician Assistant healthcare provider located in JBSA LACKLAND, Texas. NPI 1417714106 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · JBSA LACKLAND, TX
Registration Details
- NPI Number
- 1417714106
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 29, 2024 (2.4464710276781 yrs)
- Last Updated
- Mar 25, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 WILFORD HALL LOOPJBSA LACKLAND, TX, 782365638Browse TX providers · Browse ZIP 78236
- Phone
- 2102923337
- Fax
- 2102922052
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in JBSA LACKLAND, TX
| Name | Credential | NPI |
|---|---|---|
| MR. ROY ROBERT ESTRADA | PH.D., PA-C, CIP | 1760456917 |
| ENRICO PAEZ | PA-C | 1487672499 |
| AMANDA NICOLE GOYET | PA-C | 1659446474 |
| JULIE M GLOVER | PA-C, DSC | 1205978558 |
| MR. RYAN LEE KASTERN | MPAS, PA-C | 1588857882 |
| MICHAEL JOSEPH RABENER | DSC, EMPA-C | 1093995748 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.