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Dr. Tarisha Renee Mixon, MD
Family Medicine Physician in Baton Rouge, Louisiana
NPI 1982915195

Tarisha Renee Mixon is a Family Medicine Physician based in Baton Rouge, LA. Tarisha Renee Mixon practices in Baton Rouge, LA and has the professional credentials of MD. The NPI Number for Tarisha Renee Mixon is 1982915195 and holds a License No. (Louisiana).

The current practice location address for Tarisha Renee Mixon is 3401 North Blvd, Baton Rouge, LA and can be reached out via phone at 225-387-0851 and via fax at 225-383-8477.

Location: 3401 North Blvd, Baton Rouge, LA, 70809-3731
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Provider Profile Details
NPI Number
1982915195
Provider Name
Tarisha Renee Mixon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3401 North Blvd, Baton Rouge, LA, 70809-3731
Phone Number
225-387-0851
Fax Number
225-383-8477
Provider Enumeration Date
06/23/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
295588YNB7 01 LA MEDICARE PTAN
2110454 05 LA
institution
Provider Business Practice Location Address Details
Address
3401 North Blvd
City
State
Zip
70806-3743
Phone Number
225-387-0851
Fax Number
225-383-8477
person
Provider Business Mailing Address Details
Address
3401 North Blvd
City
State
Zip
70806-3743
Phone Number
225-387-0851
Fax Number
225-383-8477
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
MD.205942 (Louisiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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