Individual
DR. ROBERT CARL MCMYNE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4320 HOUMA BLVD, FL 6, METAIRIE, LA 70006-2961
(504) 503-4109
(504) 503-4103
Mailing address
4320 HOUMA BLVD, FL 6, METAIRIE, LA 70006-2961
(504) 503-4109
(504) 503-4103
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MD.203467
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1096776
—
LA
Enumeration date
06/17/2008
Last updated
01/24/2019
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