Joe Ben Holden M.d., Llc | |
421 North Avenue F Crowley LA 70527-2098 | |
(337) 788-0832 | |
(337) 783-6210 |
Full Name | Joe Ben Holden M.d., Llc |
---|---|
Speciality | General Practice |
Location | 421 North Avenue F, Crowley, Louisiana |
Authorized Official Name and Position | Joe B Holden (OWNER/SOLE PROPRIETOR/PHYSICIAN) |
Authorized Official Contact | 3377880832 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Joe Ben Holden M.d., Llc 421 North Avenue F P.o. Box 2098 Crowley LA 70537-2098 Ph: (337) 788-0832 | Joe Ben Holden M.d., Llc 421 North Avenue F Crowley LA 70527-2098 Ph: (337) 788-0832 |
NPI Number | 1154557312 |
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Provider Enumeration Date | 06/02/2009 |
Last Update Date | 06/02/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154557312 | NPI | - | NPPES |
1427020825 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 0079577 (Louisiana) | Primary |
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