| NPI | 1962706051 |
|---|---|
| Doing Business As | DESOTO REGIONAL FAMILY MEDICINE-MANSFIELD |
| Entity Type | Organization |
| Authorized Contact | TAMMY KENNEDY Office Manager 318-872-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: LA 151) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-05-25 |