Individual
JOHNNY RAY BIDDLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3608 KIRKMAN ST, LAKE CHARLES, LA 70607-3006
(337) 936-6893
(337) 564-0931
Mailing address
630 W PRIEN LAKE RD, B 210, LAKE CHARLES, LA 70601-0700
(337) 936-6893
(337) 564-0931
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
05629R
LA
207Q00000X
Family Medicine Physician
Primary
05629R
LA
208D00000X
General Practice Physician
05629R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1347795
—
LA
Enumeration date
05/09/2007
Last updated
11/10/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us