MR. GABRIEL S TELLEZ


Address: 1455 Ticonderoga, Mcm Crew Fearless, Comcmron 2, Naval Station, Ingleside, TX 78362-5009
Phone: 7602719722

MR. GABRIEL S TELLEZ (NPI# 1629108881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629108881
Entity Type Individual
Full Name MR. GABRIEL S TELLEZ
Credential IDC
Practice Address 1455 Ticonderoga
Mcm Crew Fearless, Comcmron 2, Naval Station
Ingleside
TX 78362-5009
Mailing Address 1626 S 31st Dr
Yuma
AZ 85364-5021
Practice Telephone 7602719722
Mailing Telephone 7602719723
Enumeration Date 2007-03-06
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Office Location

Street Address 1455 TICONDEROGA
MCM CREW FEARLESS, COMCMRON 2, NAVAL STATION
City INGLESIDE
State TX
Zip Code 78362-5009

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518488535 Elizabeth Elmore Physical Therapy Assistant 2246 Sunset Cliffs Dr, Ingleside, TX 78362 2017-06-29
1699910414 Benjamin Noel Paloy Carrido Military Health Care Provider 2969 Atlantic Blvd Apt 115, Ingleside, TX 78362 2008-12-08
1356438295 Mayfield Chiropractic Chiropractor 2168 Hwy 361, Ingleside, TX 78362 2006-10-10
1881796274 Stanley Dee Seymour Chiropractor 2681 State Hwy 361, Ingleside, TX 78362 2006-09-05
1306809967 Douglas Neil Holleman Sr. Military Health Care Provider Mhc Crew Inflict, Naval Station Ingleside, Ingleside, TX 78362 2006-04-06
1619944642 Damian J Lovello Military Health Care Provider 1632 Ticonderoga St, Uss Heron Mhc 52, Ingleside, TX 78362 2006-03-08
1720056609 Rudy Wilbert Arocha Military Health Care Provider Branch Health Clinic, 327 Coral Sea Dr. Suite 165, Ingleside, TX 78362 2006-03-08
1518479930 Candice Nicole Miller Nurse Practitioner 2713 S Main St, Ingleside, TX 78362 2017-10-25
1609043777 Jason Paul Fechner Military Health Care Provider 1451 Lexington Drive, Comcmron2, Ingleside, TX 78362 2008-05-08
1487843975 Wellmed Medical Group Pa Clinic/Center 2713 Main St, Ingleside, TX 78362 2007-10-19
Find all providers in zip 78362

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699910414 Benjamin Noel Paloy Carrido Military Health Care Provider 2969 Atlantic Blvd Apt 115, Ingleside, TX 78362 2008-12-08
1881844538 Michael Charles Menninger Military Health Care Provider 1451 Lexington Blvd, Building 300, Suite 149, Ingleside, TX 78362-5015 2008-09-30
1891985529 Roy Michael Elias Military Health Care Provider 327 Coral Sea Rd Suite 123, Ingleside, TX 78362-5025 2007-07-30
1245420017 Phillip Anthony Rodriguez Military Health Care Provider Naval Branch Health Clinic Ingleside, 327 Coral Sea Drive, Suite 165, Ingleside, TX 78362-5025 2007-07-27
1306809967 Douglas Neil Holleman Sr. Military Health Care Provider Mhc Crew Inflict, Naval Station Ingleside, Ingleside, TX 78362 2006-04-06
1619944642 Damian J Lovello Military Health Care Provider 1632 Ticonderoga St, Uss Heron Mhc 52, Ingleside, TX 78362 2006-03-08
1326015389 Emiliano Torres Jr. Military Health Care Provider 1451 Lexington Drive, Mcmron Two Medical, Ingleside, TX 78362-5055 2006-03-08
1720056609 Rudy Wilbert Arocha Military Health Care Provider Branch Health Clinic, 327 Coral Sea Dr. Suite 165, Ingleside, TX 78362 2006-03-08
1609043777 Jason Paul Fechner Military Health Care Provider 1451 Lexington Drive, Comcmron2, Ingleside, TX 78362 2008-05-08
1790970184 Aaron Patrick Sikes Military Health Care Provider 327 Coral Sea Rd, Ingleside, TX 78362-5055 2007-09-10
Find all providers in INGLESIDE

Competitor

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City INGLESIDE
Zip Code 78362

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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