| NPI | 1043580624 |
|---|---|
| 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 (Licence: LA 229RHC-3) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2020-05-04 |