William Alfred Mixon in Lake Charles - Specialist
William Alfred Mixon - NPI 1710969704
William Alfred Mixon is a Specialist in Lake Charles, Louisiana. William Alfred Mixon practices all healthcare services and medical treatments related to Specialist. The NPI Number for William Alfred Mixon is 1710969704. The last update date is 2007-07-08.
William Alfred Mixon's current location address is 1717 Oak Park Blvd, Lake Charles, Louisiana. You can contact this provider via phone number 3374783810 and fax number 3374786360. The mailing address for William Alfred Mixon is 1717 Oak Park Blvd, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Alfred Mixon |
|---|---|
| Address | 1717 Oak Park Blvd, Lake Charles, Louisiana |
| Phone Number | 3374783810 |
| Fax Number | 3374786360 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710969704 |
|---|---|
| Provider Enumeration Date | 2005-11-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1717 Oak Park Blvd |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706018991 |
| Phone Number | 3374783810 |
| Fax Number | 3374786360 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 9373 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1112437 | LA | -- | |
| 5846182 | LA | AETNA |
Post Comment/ Review Below
What is the unique identifier code issued to William Alfred Mixon by the Centers for Medicare & Medicaid Services (CMS)?
The William Alfred Mixon has been assigned the NPI (National Provider Identifier) 1710969704. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of William Alfred Mixon?
The William Alfred Mixon is physically situated at 1717 Oak Park Blvd, in the city of Lake Charles, state of LA, with the postal code 706018991.
What is William Alfred Mixon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for William Alfred Mixon is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date was the 1710969704 assigned to William Alfred Mixon?
The William Alfred Mixon was issued its 1710969704 on 2005-11-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding William Alfred Mixon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to William Alfred Mixon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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