MEDICARE: LINDA N TEAL, MD, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	C6474	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326362286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDA N TEAL, MD, PA

Provider Business Mailing Address
First Line	:	444 HOSPITAL DR
Second Line	:
City	:	MOUNTAIN HOME
State	:	AR
Zip	:	72653-2900
Country	:	US
Telephone Number	:	870-425-7788
Fax Number	:	870-424-7457

Provider Business Practice Location Address
First Line	:	444 HOSPITAL DR
Second Line	:
City	:	MOUNTAIN HOME
State	:	AR
Zip	:	72653-2900
Country	:	US
Telephone Number	:	870-425-7788
Fax Number	:	870-424-7457

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LINDA N TEAL
Credential	:	MD
Telephone Number	:	870-425-7788

Provider Enumeration Date	:	03/22/2010
Last Update Date	:	04/13/2010

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