Dr JUDE A AGENDIA is a male medical professional, specializing in Family Medicine. He graduated in 2003.
4150 NELSON RD
BLDG E SUITE 4
LAKE CHARLES
LA
706054148
Tel:
| Npi | 1821287806 |
| Pac Id | 0941380711 |
| Professional Enrollment Id | I20080107000198 |
| Last Name | AGENDIA |
| First Name | JUDE |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | EMERGENCY MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | EMERGENCY MEDICINE |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 4150 NELSON RD |
| Line 2 Street Address | BLDG E SUITE 4 |
| Marker Of Address Line 2 Suppression | |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 706054148 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 190164 |
| Hospital Affiliation Lbn 1 | BYRD REGIONAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 190201 |
| Hospital Affiliation Lbn 2 | CHRISTUS LAKE AREA HOSPITAL |
| Hospital Affiliation Ccn 3 | 190027 |
| Hospital Affiliation Lbn 3 | CHRISTUS ST PATRICK HOSPITAL |
| Hospital Affiliation Ccn 4 | 190060 |
| Hospital Affiliation Lbn 4 | LAKE CHARLES MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 5 | 190133 |
| Hospital Affiliation Lbn 5 | ALLEN PARISH HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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