# OUR CLINIC, INC

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

## Provider details

- **NPI number:** 1962673459
- **Authorized official:** MRS. ROSE A HOLMES (MANAGER)
- **Authorized official phone:** (713) 451-5320

## Contact information

- **Practice address:** 4301 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70122-3875
- **Practice address phone:** (504) 284-3866
- **Practice address fax:** (504) 284-3869
- **Mailing address:** 40189 PELICAN POINT PKWY, GONZALES, LA 70737-8501
- **Mailing address phone:** (504) 491-3124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | MD.06513R | LA | Yes |

## Other

- **Enumeration date:** 03/12/2008
- **Last updated:** 03/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1344681 | — | LA |