Organization
SAHASRA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IESHA ISHEA GRANT APRN-BC (OWNER)
(504) 762-0245
Entity
Organization
Contact information
Practice address
4141 SOUTHWEST FWY STE 510, HOUSTON, TX 77027-7334
(832) 699-9734
(281) 710-6222
Mailing address
1403 BODENGER BLVD, NEW ORLEANS, LA 70114-6001
(832) 699-9734
(281) 710-6222
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2008
Last updated
06/17/2020
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