Broussard, Toby D
Broussard, Toby D is an sole proprietor health care provider with primary practice located at 1800 Renaissance Blvd 2Nd Floor, Edmond OK 73013-3023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Broussard, Toby D can be contacted via phone (405) 359-2473.Contact Information
Primary practice address
1800 Renaissance Blvd 2Nd Floor
Edmond OK 73013-3023
Phone: (405) 359-2473
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 20450 | Louisiana |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 24881 | Oklahoma |
Profile Details
| NPI number | 1770587636 |
|---|---|
| LBN Legal business name | Broussard, Toby D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Jun 7th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770587636 | NPPES |
| Louisiana | MEDICAID | 1989592 |
Popular Providers
-
Johnson, William Kent
11221 Katy Fwy Ste 115 , Houston TX 77079-2105 -
Eells, David A
320 Jones Ave , Oak Hill WV 25901-2909 -
Adams, Larry E
5809 Havenshire Ln , Edmond OK 73034-2270 -
Walton, Gregory F
1800 Renaissance Blvd 2Nd Floor, Edmond OK 73013-3023 -
Gilbert, Carl J
4509 Integris Pkwy , Edmond OK 73034-8696 -
White, Patrick W.
5700 Monroe St Unit 101 , Sylvania OH 43560-2779 -
Seip, Christopher C
820 N Alpha St , Grand Island NE 68803-4320 -
Carey, Joshua P
4833 Integris Pkwy Suite 350, Edmond OK 73034