Healthcare Provider Details

I. General information

NPI: 1861452260
Provider Name (Legal Business Name): MARK BRITT HOLDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 E. CAPITAL ST
MANY LA
71449
US

IV. Provider business mailing address

395 E. CAPITAL ST
MANY LA
71449
US

V. Phone/Fax

Practice location:
  • Phone: 318-256-2000
  • Fax: 318-256-6237
Mailing address:
  • Phone: 318-256-2000
  • Fax: 318-256-6237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number025555
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number025555
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: