Organization · Type 2 NPI
Broussard Family Practice, PLLC
Specialist · Beaumont, TX
NPI number
1710320908
Active
Practice location
810 Hospital Dr Ste 100
Beaumont, TX 77701-4633
Mailing address
PO Box 7096
Beaumont, TX 77726-7096
Other practice locations
- 7675 Folsom Dr Ste 300B, Beaumont, TX 77706-7299 · (409) 833-0342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | L2891 (TX) |
| Family Nurse Practitioner | 363LF0000X | 651610 (TX) |
Specialist: 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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About NPI 1710320908
Broussard Family Practice, PLLC's National Provider Identifier is 1710320908, issued on Apr 8, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Beaumont, TX. The record was last updated on Jul 21, 2022.