Mixon, Tynes Emery

Mixon, Tynes Emery is an individual health care provider with primary practice located at 426 Charles St , New Iberia LA 70560-3707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Mixon, Tynes Emery can be contacted via phone (337) 365-4156.

Contact Information

Primary practice address
426 Charles St New Iberia LA 70560-3707
Phone: (337) 365-4156
Fax: (337) 365-4192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 020891 Louisiana

Profile Details

NPI number 1962498683
LBN Legal business name Mixon, Tynes Emery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Sep 9th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962498683 NPPES
Louisiana MEDICAID 1680095

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