Organization
VICARE NOLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAI NGUYEN MD (MEMBER)
(504) 939-1543
Entity
Organization
Contact information
Practice address
315 WESTBANK EXPY, GRETNA, LA 70053-5616
(504) 364-1844
Mailing address
315 WESTBANK EXPY, GRETNA, LA 70053-5616
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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