NPI 1003434267

James Dale Broussard

Practitioner Surgical Assistant Houston, TX

Practice location

Address: 7324 Southwest Fwy STE 1550, Houston, TX 77074-2053
Phone: (713) 779-9800

Registered specialties (2)

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 0136000341 (VA)

Other Specialist/Technologist, Other providers in Texas →

Surgical Assistant

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 187328

Registry record

NPI: 1003434267
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2020
Record last updated: 13 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.