Mendez, Enrique Antonio

Mendez, Enrique Antonio is an individual health care provider with primary practice located at 501 Dr Michael Debakey Dr , Lake Charles LA 70601-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Mendez, Enrique Antonio can be contacted via phone (337) 312-8619.

Contact Information

Primary practice address
501 Dr Michael Debakey Dr Lake Charles LA 70601-5724
Phone: (337) 312-8619
Fax: (337) 312-8614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 024079 Louisiana
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD.024079 Louisiana

Profile Details

NPI number 1174605646
LBN Legal business name Mendez, Enrique Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jan 30th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174605646 NPPES
Louisiana MEDICAID 1485055

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