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BROUSSARD FAMILY PRACTICE PLLC NPI 1710320908


NPI Information

NPI: 1710320908
Provider Name: BROUSSARD FAMILY PRACTICE, PLLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
810 HOSPITAL DR STE 100
BEAUMONT, TX
ZIP 77701
Phone: (409) 833-0342
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BROUSSARD FAMILY PRACTICE, PLLC is a specialist in Beaumont, TX. The provider is 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. BROUSSARD FAMILY PRACTICE, PLLC NPI is 1710320908. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

810 HOSPITAL DR STE 100
BEAUMONT, TX
ZIP 77701-633
Phone: (409) 833-0342

The provider's authorized official is Juliette Rose Broussard .
The authorized official title is Family Nurse Practitioner/owner and has the following contact phone number (409) 833-0342.

The enumeration date for this NPI number is 4/8/2013 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily651610TEXASNo
2174400000XSpecialistL2891TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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