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1831142355
RICARDO SAMUDIA
LAKE CHARLES, LA
NPI
1831142355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: LA 07963R)
Enumeration Date
2006-05-18
Last Update Date
2014-06-05
Business Address
-- RICARDO SAMUDIA MD
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601-8990
Phone number: 337-475-8100
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Mailing Address
-- RICARDO SAMUDIA MD
PO BOX 122108 DEPT 2108
DALLAS, TX 75312-2108
Phone number: 337-494-2919
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