| Our Clinic, Inc | |
|
4301 Elysian Fields Ave New Orleans LA 70122-3875 | |
| (504) 284-3866 | |
| (504) 284-3869 |
| Full Name | Our Clinic, Inc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 4301 Elysian Fields Ave, New Orleans, Louisiana |
| Authorized Official Name and Position | Rose A Holmes (MANAGER) |
| Authorized Official Contact | 7134515320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Clinic, Inc 40189 Pelican Point Pkwy Gonzales LA 70737-8501 Ph: (504) 491-3124 | Our Clinic, Inc 4301 Elysian Fields Ave New Orleans LA 70122-3875 Ph: (504) 284-3866 |
| NPI Number | 1962673459 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 03/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962673459 | NPI | - | NPPES |
| 1344681 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | MD.06513R (Louisiana) | Primary |
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