Individual
RICARDO SAMUDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 OAK PARK BLVD FL 3, LAKE CHARLES, LA 70601-8990
(337) 475-8100
(337) 475-8510
Mailing address
PO BOX 122108, DEPT 2108, DALLAS, TX 75312-2108
(337) 494-2919
(337) 494-3069
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
07963R
LA
Other
Enumeration date
05/18/2006
Last updated
06/05/2014
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