BROUSSARD FAMILY PRACTICE, PLLC
Nursing at Hospital Dr, Beaumont, TX

License number
Texas L2891
Category
Medical Practice
Type
Specialist
License number
Texas 651610
Category
Nursing
Type
Family
Owner
Name: MRS. JULIETTE ROSE BROUSSARD FNPC
Title: FAMILY NURSE PRACTITIONER/OWNER
Phone: (409) 833-0342
Address
Address
810 Hospital Dr STE 100, Beaumont, TX 77701
National Provider ID: 1710320908
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BROUSSARD FAMILY PRACTICE, PLLC

4825 Elmwood Ln, Beaumont, TX 77706

Industry:
Medical Doctor's Office
Doing business as:
Broussard Family Practice, Pllc
Registration:
Mar 12, 2013
State ID:
0801748628
Business type:
Domestic Limited Liability Company (LLC)
PRESIDENT, President, Director:
Juliette Broussard (PRESIDENT, President, Director), 4825 Elmwood Ln, Beaumont, TX 77706
TIN:
32050433203

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