Tejada Oller, Jennifer

Tejada Oller, Jennifer is an individual health care provider with primary practice located at 2900 E 29Th St , Bryan TX 77802-2622. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Tejada Oller, Jennifer can be contacted via phone (979) 776-8440.

Contact Information

Primary practice address
2900 E 29Th St Bryan TX 77802-2622
Phone: (979) 776-8440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 47152 Texas

Profile Details

NPI number 1376920132
LBN Legal business name Tejada Oller, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2015
Last updated Oct 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376920132 NPPES
Texas Other 1F2393 MEDICARE
Texas MEDICAID 414421401 MEDICARE

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