| Tejal Jetha Md | |
|
1162 Oliver Rd Ste 4 Monroe LA 71201-5755 | |
| (318) 340-9600 | |
| (318) 340-9675 |
| Full Name | Tejal Jetha Md |
|---|---|
| Speciality | Family Medicine |
| Location | 1162 Oliver Rd Ste 4, Monroe, Louisiana |
| Authorized Official Name and Position | Ronald E Hogan (SR VICE PRESIDENT & CFO) |
| Authorized Official Contact | 3189667359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tejal Jetha Md 309 Jackson St Monroe LA 71201-7407 Ph: (318) 966-4000 | Tejal Jetha Md 1162 Oliver Rd Ste 4 Monroe LA 71201-5755 Ph: (318) 340-9600 |
| NPI Number | 1629354386 |
|---|---|
| Provider Enumeration Date | 10/26/2011 |
| Last Update Date | 10/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629354386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 157 (Louisiana) | Primary |
Affinity Central Lab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Oliver Rd, Suite C, Monroe, LA 71201 Phone: 318-812-7050 Fax: 318-812-7053 | |
Integrated Health Services Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Tower Dr, Monroe, LA 71201 Phone: 318-410-1044 | |
South Ouachita Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4310 S Grand St Ste 1, Monroe, LA 71202 Phone: 318-746-0420 Fax: 318-752-1940 | |
Phsc Desiard Street Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2913 Desiard St, Monroe, LA 71201 Phone: 318-651-9914 Fax: 318-410-0688 | |
David L. Barnes, Md, Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Medical Park Dr, Suite C, Monroe, LA 71203 Phone: 318-325-6078 Fax: 318-324-9694 | |
J Dean Stockstill Md, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3510 Magnolia Cv, Suite 190, Monroe, LA 71203 Phone: 318-323-7576 Fax: 318-322-7131 | |
Affinity Health Group Ulm Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 University Ave, Monroe, LA 71209 Phone: 318-342-1651 Fax: 318-342-3280 |