Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYNES EMERY MIXON III, MD
ActiveTYNES EMERY MIXON III, MD is a Facial Plastic Surgery healthcare provider located in NEW IBERIA, Louisiana. NPI 1962498683 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · NEW IBERIA, LA
Registration Details
- NPI Number
- 1962498683
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2005 (20.893593363966 yrs)
- Last Updated
- Sep 9, 2013
- License
-
020891 (LA)
Practice Information
- Address
-
426 CHARLES STNEW IBERIA, LA, 705603707Browse LA providers · Browse ZIP 70560
- Phone
- 3373654156
- Fax
- 3373654192
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
Other Facial Plastic Surgery Providers in NEW IBERIA, LA
| Name | Credential | NPI |
|---|---|---|
| HAROLD G BIENVENU III | M.D. | 1497709307 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.