Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Luis Carlos Teller

Individual provider Physician Assistant · NPI 1417714106

Luis Carlos Teller is a Physician Assistant in Jbsa Lackland, Texas. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Phone: (210) 292-3337
Fax: (210) 292-2052
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Military Health Care Provider Taxonomy 171000000X

Record details

NPI number1417714106
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 29, 2024
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address1100 Wilford Hall Loop, San Antonio, TX 78236-5638

Other providers in Jbsa Lackland