Broussard, Clinton
Broussard, Clinton is an sole proprietor health care provider with primary practice located at 4631 Knottynold Ln , Houston TX 77053-1103. He recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as his primary health care specialty. Broussard, Clinton can be contacted via phone (832) 461-9852.Contact Information
Primary practice address
4631 Knottynold Ln
Houston TX 77053-1103
Phone: (832) 461-9852
Fax: (713) 433-1753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | 10168489 | Texas |
Profile Details
| NPI number | 1164816021 |
|---|---|
| LBN Legal business name | Broussard, Clinton |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2015 |
| Last updated | Mar 27th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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