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Dr. William Alfred Mixon, MD
Specialist in Lake Charles, Louisiana
NPI 1710969704

William Alfred Mixon is a Specialist based in Lake Charles, LA. William Alfred Mixon practices in Lake Charles, LA and has the professional credentials of MD. The NPI Number for William Alfred Mixon is 1710969704 and holds a License No. 09373 (Louisiana).

The current practice location address for William Alfred Mixon is 1717 Oak Park Blvd, Lake Charles, LA and can be reached out via phone at 337-478-3810 and via fax at 337-478-6360.

Location: 1717 Oak Park Blvd, Lake Charles, LA, 70601-8991
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710969704
Provider Name
William Alfred Mixon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1717 Oak Park Blvd, Lake Charles, LA, 70601-8991
Phone Number
337-478-3810
Fax Number
337-478-6360
Provider Enumeration Date
11/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1112437 05 LA
5846182 01 LA AETNA
institution
Provider Business Practice Location Address Details
Address
1717 Oak Park Blvd
City
Lake Charles
State
Louisiana
Zip
70601-8991
Phone Number
337-478-3810
Fax Number
337-478-6360
person
Provider Business Mailing Address Details
Address
1717 Oak Park Blvd
City
Lake Charles
State
Louisiana
Zip
70601-8991
Phone Number
337-478-3810
Fax Number
337-478-6360
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
09373 (Louisiana)
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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