Individual provider · Type 1 NPI

Theresa Lebleu Broussard, CRNA

Certified Registered Nurse Anesthetist · Dallas, TX

NPI number 1750392015 Active

Practice location

12222 Merit Dr Ste 600
Dallas, TX 75251-3294

Call (972) 715-5000 Map

Fax (972) 715-9976

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298

Other practice locations

2390 W Congress St, Lafayette, LA 70506-4205 · (337) 261-6027
15655 Cypress Wood Medical Dr Ste 100, Houston, TX 77014-1487 · (713) 442-1700
2727 W Holcombe Blvd, Houston, TX 77025-1669 · (713) 442-0000

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	814578 (TX)
Certified Registered Nurse Anesthetist	367500000X	075438 (LA)
Certified Registered Nurse Anesthetist Primary	367500000X	AP121714 (TX)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1750392015

Theresa Lebleu Broussard, CRNA's National Provider Identifier is 1750392015, issued on Aug 11, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Dallas, TX. The record was last updated on Nov 27, 2024.