Jason Fuqua, M.D

NPI 1700051133 · on the registry since 2008 · sole proprietor

Practice

Address: 920 1st Ave
Sulphur, LA 70663
Phone: (337) 528-7472
Fax: (337) 528-7457
Organisation at this address: Grimball & Richert Clinic
Calcasieu Family Physicians, Apmc
Calcasieu Cameron Hospital Service District
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana