Luis Carlos Teller

Physician Assistant · Jbsa Lackland, TX

Individual Active NPI

NPI number 1417714106

Practice location

1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Phone
(210) 292-3337
Fax
(210) 292-2052

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NPI record

NPI
1417714106
Entity type
Individual (Type 1)
Enumeration date
February 29, 2024
Last updated
April 6, 2026
Certified
April 6, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —
Military Health Care Provider 171000000X — —

Mailing address

1100 Wilford Hall Loop
San Antonio, TX 78236-5638
Phone
(210) 292-3337
Fax
(210) 292-2052

Other practice locations (1)

  • 6354 Walker Ln Ste 350, Alexandria, VA 22310-3256 · (256) 425-4050

About Luis Teller

Luis Carlos Teller is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638. The NPI number 1417714106 was assigned on February 29, 2024 and the record was last updated on April 6, 2026.

Frequently asked questions

What is the NPI number of Luis Carlos Teller?

The NPI number is 1417714106.

What is the phone number of Luis Teller?

The phone number listed for the practice location is (210) 292-3337.

Where is Luis Teller located?

1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638.

What is the taxonomy code for Luis Teller?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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