Organization
JALAL JOUDEH
Active
Other names
DeQuincy Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JALAL JOUDEH M.D. (OWNER)
(337) 786-6161
Entity
Organization
Contact information
Practice address
601 W 4TH ST, DEQUINCY, LA 70633-3301
(337) 786-6161
(337) 786-7999
Mailing address
PO BOX 866, DEQUINCY, LA 70633-0866
(337) 786-6161
(337) 786-7999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1445347
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445347
—
LA
Enumeration date
12/05/2006
Last updated
06/27/2008
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