# MINDEN PHYSICIAN PRACTICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MINDEN PHYSICIAN PRACTICES LLC
- **Other names:** Minden Medical Clinic of Haughton
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699392589
- **Legal business name:** MINDEN PHYSICIAN PRACTICES LLC
- **Authorized official:** SHANNON DAWN BROWN (CLINIC DIRECTOR)
- **Authorized official phone:** (318) 382-7296

## Contact information

- **Practice address:** 170 HEALTHCARE PLAZA, HAUGHTON, LA 71037
- **Practice address phone:** (318) 706-0022
- **Practice address fax:** (318) 706-0023
- **Mailing address:** 170 HEALTHCARE PLAZA, HAUGHTON, LA 71037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/26/2020
- **Last updated:** 03/10/2022
