Individual
DR. CHARLES J. LEDOUX JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
502 BARROW ST, HOUMA, LA 70360-4606
(985) 868-4890
(985) 876-7413
Mailing address
502 BARROW ST, HOUMA, LA 70360-4606
(985) 868-4890
(985) 876-7413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
012736
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119985
—
LA
Enumeration date
01/06/2006
Last updated
09/16/2010
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