IndividualActive
Gabriel Tellez, IDC
NPI 1629108881 · Independent Duty Corpsman · Ingleside, TX
Provider details
- NPI number
- 1629108881
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1455 Ticonderoga
Mcm Crew Fearless, Comcmron 2, Naval Station
Ingleside, TX 78362-5009
Phone: (760) 271-9722
Approximate (ZIP-level) locationGet directions
Mailing address
1626 S 31st Dr
Yuma, AZ 85364-5021
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.