| NPI | 1629354386 |
|---|---|
| Doing Business As | TEJAL JETHA MD |
| Entity Type | Organization |
| Authorized Contact | RONALD E HOGAN Sr Vice President & CFO 318-966-7359 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 157) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |