Broussard Family Chiropractic, P.A.
Chiropractor in Beaumont, TX. Organization (NPI-2).
NPI number1184648776
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1184648776
- Entity type
- Organization (NPI-2)
- Legal business name
- Broussard Family Chiropractic, P.A.
- Organization subpart
- No
- Enumeration date
- Jul 27, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 9733 | TX | Yes |
Practice location
6755 Phelan BlvdSuite 18
Beaumont, TX 77706-6075
Phone 409-866-7566 · Fax 409-866-9566
Mailing address
6755 Phelan BlvdSuite 18
Beaumont, TX 77706-6075
Phone 409-866-7566 · Fax 409-866-9566
Authorized official
James Coty Broussard
Owner
4098667566
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