# VICARE NOLA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295410546
- **Authorized official:** DR. HAI NGUYEN MD (MEMBER)
- **Authorized official phone:** (504) 939-1543

## Contact information

- **Practice address:** 315 WESTBANK EXPY, GRETNA, LA 70053-5616
- **Practice address phone:** (504) 364-1844
- **Mailing address:** 315 WESTBANK EXPY, GRETNA, LA 70053-5616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2023
- **Last updated:** 06/15/2023