Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desoto Healthcare Center Inc

Organization Family Medicine Physician · NPI 1811209232

Desoto Healthcare Center Inc is a Family Medicine Physician in Mansfield, Louisiana. Licensed in Louisiana. Registered with an NPI since 2010.

Licensed in
LA
In the registry since
2010
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

938 Louise St
Mansfield, LA 71052
Phone: (318) 871-1633
Fax: (318) 871-1677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD199935 (LA)
Nephrology Physician Taxonomy 207RN0300X · Licence 1487481 (LA)
Pediatrics Physician Taxonomy 208000000X · Licence 1996971 (LA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 03124 (LA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 020173 (LA)

Record details

NPI number1811209232
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Connie Gannon — Family Nurse Practitioner · (318) 871-1633
NPI enumeratedJuly 14, 2010
Last updated in NPPESDecember 23, 2011
Mailing addressPo Box 1384, Mansfield, LA 71052-1384

Other providers in Mansfield