# VERSAILLES NEIGHBORHOOD CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Minh Cong Dao
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194998500
- **Authorized official:** PATRICIA MORRIS (BILLING OFFICE MANAGER)
- **Authorized official phone:** (985) 726-9333

## Contact information

- **Practice address:** 4657 ALCEE FORTIER BLVD, SUITE A, NEW ORLEANS, LA 70129-2140
- **Practice address phone:** (504) 254-4011
- **Mailing address:** 4657 ALCEE FORTIER BLVD, SUITE A, NEW ORLEANS, LA 70129-2140
- **Mailing address phone:** (504) 254-4011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2008
- **Last updated:** 08/15/2008
