| Doctor Name: | DAVID CROCKETT TELLER |
| NPI Number: | 1154300788 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | H2828 |
| Business Practice Address: | 19908 Crane Creek Loop Pflugerville, TX - 786605268 |
| Business Phone Number: | 9792240134 |
| Business Fax Number: | |
| Mailing Address: | 19908 Crane Creek Loop, PFLUGERVILLE |
| State: | TX |
| Postal Code: | 786605268 |
| Phone Number: | 9792240134 |
| Fax Number: | |
| NPI Enumeration Date: | 01/12/2006 |
| NPI Last Update Date: | 02/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YS0123X |
| License Number: | H2828 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |