Provider Demographics
NPI:1730433947
Name:TELLEZ, NATALIE (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:TELLEZ
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:MRS
Other - First Name:NATALIE
Other - Middle Name:TELLEZ
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2180 NORTH LOOP W
Mailing Address - Street 2:STE. 450
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-8014
Mailing Address - Country:US
Mailing Address - Phone:832-384-1560
Mailing Address - Fax:832-384-1585
Practice Address - Street 1:2180 NORTH LOOP W
Practice Address - Street 2:STE. 450
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8014
Practice Address - Country:US
Practice Address - Phone:832-384-1560
Practice Address - Fax:832-384-1585
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX720513363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health