Provider Demographics
NPI:1346508777
Name:QUEBEDEAUX, RAY ANTHONY JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RAY
Middle Name:ANTHONY
Last Name:QUEBEDEAUX
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:601 W SAINT MARY BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-3561
Mailing Address - Country:US
Mailing Address - Phone:337-470-3080
Mailing Address - Fax:337-470-3099
Practice Address - Street 1:601 W SAINT MARY BLVD STE 210
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506
Practice Address - Country:US
Practice Address - Phone:337-470-3080
Practice Address - Fax:337-470-3099
Is Sole Proprietor?:No
Enumeration Date:2012-04-23
Last Update Date:2021-05-21
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Provider Licenses
StateLicense IDTaxonomies
LA320678207QA0505X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine