| NPI | 1114742772 |
|---|---|
| Doing Business As | OMEGA HEIGHTS FAMILY MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | NANETTE ICHO Medical Director 504-453-0873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |