VERSAILLES NEIGHBORHOOD CLINIC NPI 1194998500

NPI Information

  • NPI: 1194998500
  • Provider Name: VERSAILLES NEIGHBORHOOD CLINIC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: MINH CONG DAO
  • CLIA Number: 19D0962679
  • Address: 4657 ALCEE FORTIER BLVD
    SUITE A
    NEW ORLEANS, LA
    ZIP 70129
  • Phone: (504) 254-4011

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NPI Details

VERSAILLES NEIGHBORHOOD CLINIC is a family medicine in New Orleans, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. VERSAILLES NEIGHBORHOOD CLINIC NPI is 1194998500. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Minh Cong Dao.

The provider's business location address is:

4657 ALCEE FORTIER BLVD
SUITE A
NEW ORLEANS, LA
ZIP 70129-140
Phone: (504) 254-4011

The provider's authorized official is Patricia Morris .
The authorized official title is Billing Office Manager and has the following contact phone number (985) 726-9333.

The CLIA number assigned to this NPI record is 19D0962679 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2008 and was last updated on 8/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15DD32MEDICARE PINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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