Individual
ENRIQUE ANTONIO MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8619
(337) 312-8614
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 433-8400
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
024079
LA
207RR0500X
Rheumatology Physician
Primary
MD.024079
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1485055
—
LA
Enumeration date
10/20/2006
Last updated
01/30/2017
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