Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Desoto Healthcare Center Inc

Organization Family Medicine Physician · NPI 1811209232

Desoto Healthcare Center Inc provides Family Medicine Physician services 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 Not confirmed with CMS for 14 years — call before visiting
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