| NPI | 1043359839 |
|---|---|
| Doing Business As | DESOTO REGIONAL FAMILY MEDICINE - MANSFIELD |
| Entity Type | Organization |
| Authorized Contact | HALLIE DEUTSCH Credentialing Specialist 318-871-3101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-03-27 |