Organization
TYNES MIXON, III MD APMC
Active
Other names
ENT of Acadiana
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYNES EMERY MIXON III M.D. (PHYSICIAN)
(337) 365-4156
Entity
Organization
Contact information
Practice address
426 CHARLES ST, NEW IBERIA, LA 70560-3707
(337) 365-4156
(337) 365-4192
Mailing address
426 CHARLES ST, NEW IBERIA, LA 70560-3707
(337) 365-4156
(337) 365-4192
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445282
—
LA
Enumeration date
07/16/2006
Last updated
10/09/2008
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