Organization
JOSEPH M TEJAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELIA K CHRISTIAN (PRACTICE MANAGER)
(972) 283-0200
Entity
Organization
Contact information
Practice address
1001 YORK DRIVE, DESOTO, TX 75115-2083
(972) 283-0200
(972) 283-2515
Mailing address
1001 YORK DRIVE, DESOTO, TX 75115-2083
(972) 283-0200
(972) 283-2515
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K7630
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00405U
MEDICARE GROUP
TX
05
—
029941402
—
TX
01
—
200045618
RAILROAD MEDICARE
TX
01
—
4906490001
CIGNA GOVERNMENT SERVICES
TX
Enumeration date
12/17/2007
Last updated
10/04/2013
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