Individual provider · Type 1 NPI

Jacqueline Guarino Broda, PA-C

Surgical Physician Assistant · Houston, TX

NPI number 1114342722 Active

Practice location

6621 Fannin St, Mc 1-1410
Houston, TX 77030-2303

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1114342722

Jacqueline Guarino Broda, PA-C's National Provider Identifier is 1114342722, issued on Feb 19, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on Jan 24, 2017.