Organization
ONEAL DIRECT HEALTH
Active
Organization
ONEAL DIRECT HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER O'NEAL MD (OWNER)
(337) 302-5453
Entity
Organization
Contact information
Practice address
818 MONTROSE DR STE B, SHREVEPORT, LA 71106-2012
(337) 302-5453
(337) 302-5453
Mailing address
8702 GLEN HAVEN DR, SHREVEPORT, LA 71106-6222
(337) 302-5453
(318) 725-3505
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275929929
STATE
LA
05
—
1275929929
—
LA
Enumeration date
06/17/2025
Last updated
06/17/2025
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