# JOE BEN HOLDEN M.D., LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOE BEN HOLDEN M.D., LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083841688
- **Legal business name:** JOE BEN HOLDEN M.D., LLC
- **Authorized official:** MR. JOE B HOLDEN M.D. (OWNER/SOLE PROPRIETOR/PHYSICIAN)
- **Authorized official phone:** (337) 788-0832

## Contact information

- **Practice address:** 421 NORTH AVENUE F, CROWLEY, LA 70537-2098
- **Practice address phone:** (337) 788-0832
- **Practice address fax:** (337) 783-6210
- **Mailing address:** 421 NORTH AVENUE F, P.O. BOX 2098, CROWLEY, LA 70537-2098
- **Mailing address phone:** (337) 788-0832
- **Mailing address fax:** (337) 783-6210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 0079577 | LA | Yes |

## Other

- **Enumeration date:** 06/22/2009
- **Last updated:** 06/22/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1427020825 | — | LA |