| Iconic Healthcare, LLC | |
|
1810 Lindberg Dr Ste 2400 Slidell LA 70458-8160 | |
| (985) 214-4330 | |
| (985) 214-4853 |
| Full Name | Iconic Healthcare, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1810 Lindberg Dr Ste 2400, Slidell, Louisiana |
| Authorized Official Name and Position | Rysn Burras (PRACTICE MANAGER) |
| Authorized Official Contact | 9852144330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iconic Healthcare, LLC 769 Robert Blvd # 1007 Slidell LA 70458-1637 Ph: (985) 214-4330 | Iconic Healthcare, LLC 1810 Lindberg Dr Ste 2400 Slidell LA 70458-8160 Ph: (985) 214-4330 |
| NPI Number | 1649113028 |
|---|---|
| Provider Enumeration Date | 04/10/2026 |
| Last Update Date | 04/10/2026 |
| Certification Date | 04/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649113028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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