# MAGDOUCHE MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942632633
- **Authorized official:** JIHAD M EL HAYEK M.D. (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (214) 405-2313

## Contact information

- **Practice address:** 2739 STONE CREEK DR, SHREVEPORT, LA 71106-8432
- **Practice address phone:** (318) 797-1743
- **Practice address fax:** (318) 797-7599
- **Mailing address:** 2739 STONE CREEK DR, SHREVEPORT, LA 71106-8432
- **Mailing address phone:** (318) 797-1743
- **Mailing address fax:** (318) 797-7599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | MD.204550 | LA | Yes |

## Other

- **Enumeration date:** 08/05/2013
- **Last updated:** 08/12/2020
