Marcelo Ernesto Brito Telles, MD
Family Medicine, Adult Medicine in Denton, TX. Individual provider (NPI-1).
NPI number1699062018
StatusActive
Last updated in NPPESDec 22, 2021
Details
- NPI
- 1699062018
- Entity type
- Individual (NPI-1)
- Name
- Marcelo Ernesto Brito Telles
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2011
- Certification date
- Dec 21, 2021
- Last updated
- Dec 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | Q1103 | TX | Yes |
| 207Q00000X | Family Medicine | Q1103 | TX |
Practice location
1512 Teasley LnDenton, TX 76205-7282
Phone 940-566-5010
Mailing address
2812 DorsetThe Colony, TX 75056-3592
Phone 779-770-7011
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