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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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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