# JALAL JOUDEH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DeQuincy Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548328115
- **Authorized official:** DR. JALAL JOUDEH M.D. (OWNER)
- **Authorized official phone:** (337) 786-6161

## Contact information

- **Practice address:** 601 W 4TH ST, DEQUINCY, LA 70633-3301
- **Practice address phone:** (337) 786-6161
- **Practice address fax:** (337) 786-7999
- **Mailing address:** PO BOX 866, DEQUINCY, LA 70633-0866
- **Mailing address phone:** (337) 786-6161
- **Mailing address fax:** (337) 786-7999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 1445347 | LA | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 06/27/2008