Organization
MINDEN PHYSICIAN PRACTICES LLC
Active
Parent organization
MINDEN PHYSICIAN PRACTICES LLC
Other names
THE WOMEN'S CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINDEN PHYSICIAN PRACTICES LLC
Authorized official
SHANNON DAWN BROWN (DIRECTOR)
(318) 382-7296
Entity
Organization
Contact information
Practice address
427 HOMER RD, MINDEN, LA 71055-2933
(318) 377-8855
(318) 371-1170
Mailing address
504 TEXAS ST STE 200, SHREVEPORT, LA 71101-3526
(318) 226-8202
(318) 377-8852
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
118
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1108294
—
LA
Enumeration date
09/15/2011
Last updated
08/19/2020
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