Broussard, Craig Louis

Broussard, Craig Louis is an sole proprietor health care provider with primary practice located at 3030 North St Ste 450 , Beaumont TX 77702-1434. He recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Broussard, Craig Louis can be contacted via phone (409) 832-9600.

Contact Information

Primary practice address
3030 North St Ste 450 Beaumont TX 77702-1434
Phone: (409) 832-9600
Fax: (409) 832-9610
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 250614 Texas
Nursing Service Providers / Wound Care 163WW0000X 250614 Texas
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 250614 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 250614 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 250614 Texas

Profile Details

NPI number 1235368556
LBN Legal business name Broussard, Craig Louis
Credentials PHD, APRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2009
Last updated Jul 9th, 2014 - about 10 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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