Organization
JOE BEN HOLDEN M.D., LLC
Active
Parent organization
JOE BEN HOLDEN M.D., LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOE BEN HOLDEN M.D., LLC
Authorized official
MR. JOE B HOLDEN M.D. (OWNER/SOLE PROPRIETOR/PHYSICIAN)
(337) 788-0832
Entity
Organization
Contact information
Practice address
421 NORTH AVENUE F, CROWLEY, LA 70527-2098
(337) 788-0832
(337) 783-6210
Mailing address
421 NORTH AVENUE F, P.O. BOX 2098, CROWLEY, LA 70537-2098
(337) 788-0832
(337) 783-6210
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0079577
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427020825
—
LA
Enumeration date
06/02/2009
Last updated
06/02/2009
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