Jude A Agendia, MD
Family Medicine in Lake Charles, LA. Individual provider (NPI-1).
NPI number1821287806
StatusActive
Last updated in NPPESNov 1, 2010
Details
- NPI
- 1821287806
- Entity type
- Individual (NPI-1)
- Name
- Jude A Agendia
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2007
- Last updated
- Nov 1, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 201634 | LA | Yes |
| 207P00000X | Emergency Medicine | 201634 | LA |
Practice location
1000 Walters StreetLake Charles, LA 70607
Phone 337-475-8429 · Fax 337-475-8415
Mailing address
Po Box 4610Lake Charles, LA 70606-4610
Phone 337-312-1446 · Fax 337-312-1490
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