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Johnny Ray Biddle JR., MD
General Practice Physician in Lake Charles, Louisiana
NPI 1902010952

Johnny Ray Biddle JR. is a General Practice Physician based in Lake Charles, LA. Johnny Ray Biddle JR. practices in Lake Charles, LA and has the professional credentials of MD. The NPI Number for Johnny Ray Biddle JR. is 1902010952 and holds a License No. 05629R (Louisiana).

The current practice location address for Johnny Ray Biddle JR. is 3608 Kirkman St, Lake Charles, LA and can be reached out via phone at 337-936-6893 and via fax at 337-564-0931.

Location: 3608 Kirkman St, Lake Charles, LA, 70601-0700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902010952
Provider Name
Johnny Ray Biddle JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3608 Kirkman St, Lake Charles, LA, 70601-0700
Phone Number
337-936-6893
Fax Number
337-564-0931
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1347795 05 LA
institution
Provider Business Practice Location Address Details
Address
3608 Kirkman St
City
Lake Charles
State
Louisiana
Zip
70607-3006
Phone Number
337-936-6893
Fax Number
337-564-0931
person
Provider Business Mailing Address Details
Address
3608 Kirkman St
City
Lake Charles
State
Louisiana
Zip
70607-3006
Phone Number
337-936-6893
Fax Number
337-564-0931
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
05629R (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
05629R (Louisiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
05629R (Louisiana)
Definition
Definition to come...
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