Provider Demographics
NPI:1659811057
Name:MIXON, CHARLA (APRN-CNP)
Entity type:Individual
Prefix:
First Name:CHARLA
Middle Name:
Last Name:MIXON
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:CHARLA
Other - Middle Name:MIXON
Other - Last Name:LAPOINT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-CNP
Mailing Address - Street 1:PO BOX 1470
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78853-1470
Mailing Address - Country:US
Mailing Address - Phone:830-773-8917
Mailing Address - Fax:830-773-1892
Practice Address - Street 1:2525 N VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-3302
Practice Address - Country:US
Practice Address - Phone:830-773-5358
Practice Address - Fax:830-773-0258
Is Sole Proprietor?:No
Enumeration Date:2017-03-03
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9166076363LF0000X
TXAPRN-1205686363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1205686OtherAPRN-CNP
TXF0117614OtherAANP