Organization
ICONIC HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYSN BURRAS (PRACTICE MANAGER)
(985) 214-4330
Entity
Organization
Contact information
Practice address
1810 LINDBERG DR STE 2400, SLIDELL, LA 70458-8160
(985) 214-4330
(985) 214-4853
Mailing address
769 ROBERT BLVD # 1007, SLIDELL, LA 70458-1637
(985) 214-4330
(985) 214-4853
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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