Individual
MR. HUGO F. QUEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
101 JUDGE TANNER BLVD STE 300, COVINGTON, LA 70433-7506
(859) 867-2100
(985) 871-1548
Mailing address
LCMC HEALTH - PAYOR ENROLLMENTS, 1100 POYDRAS ST., STE. 2500, NEW ORLEANS, LA 70163-2500
(504) 527-9953
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-03001
NC
363A00000X
Physician Assistant
Primary
340264
LA
363A00000X
Physician Assistant
PA09186
TX
363A00000X
Physician Assistant
PA9101747
FL
363AM0700X
Medical Physician Assistant
PA9101747
FL
363AS0400X
Surgical Physician Assistant
PA9101747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341839406
—
TX
01
—
647908
MEDICARE
TX
01
—
6L3985
MEDICARE
LA
05
—
8102414
—
NC
01
—
P02028479
MEDICARE RAIL ROAD
TX
Enumeration date
05/15/2006
Last updated
08/12/2025
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