LUIS CARLOS TELLER NPI 1417714106

NPI Information

  • NPI: 1417714106
  • Provider Name: LUIS CARLOS TELLER
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 1100 WILFORD HALL LOOP
    JBSA LACKLAND, TX
    ZIP 78236
  • Phone: (210) 292-3337

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NPI Details

Luis Carlos Teller is a physician assistant in Jbsa Lackland, TX. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Luis Carlos Teller NPI is 1417714106. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1100 WILFORD HALL LOOP
JBSA LACKLAND, TX
ZIP 78236-638
Phone: (210) 292-3337
Fax: (210) 292-2052

The enumeration date for this NPI number is 2/29/2024 and was last updated on 3/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171000000XMilitary Health Care ProviderNo
2363A00000XPhysician AssistantYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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