Healthcare Provider Details

I. General information

NPI: 1013500552
Provider Name (Legal Business Name): SLR HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2021
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1970 N HIGHWAY 190
COVINGTON LA
70433-5364
US

IV. Provider business mailing address

PO BOX 1805
COVINGTON LA
70434-1805
US

V. Phone/Fax

Practice location:
  • Phone: 985-256-5599
  • Fax: 985-256-5687
Mailing address:
  • Phone: 985-867-8585
  • Fax: 985-867-3644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN C SIMON
Title or Position: MD / OWNER
Credential: MD
Phone: 985-867-8585