Broussard, James Dale
Broussard, James Dale is an sole proprietor health care provider with primary practice located at 7324 Southwest Fwy Ste 1550 , Houston TX 77074-2053. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Broussard, James Dale can be contacted via phone (713) 779-9800.Contact Information
Primary practice address
7324 Southwest Fwy Ste 1550
Houston TX 77074-2053
Phone: (713) 779-9800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | 187328 | |
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | 0136000341 | Virginia |
Profile Details
| NPI number | 1003434267 |
|---|---|
| LBN Legal business name | Broussard, James Dale |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2020 |
| Last updated | Jul 13th, 2020 - about 6 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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