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Individual
DR. TAMEKA MICHELLE BROUSSARD
Active
Individual
DR. TAMEKA MICHELLE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP10025537
TX
207L00000X
Anesthesiology Physician
Primary
N4962
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215541801
—
TX
05
—
2174177
—
LA
01
—
8CL589
BLUE CROSS BLUE SHIELD
TX
01
—
P00888496
RAILROAD MEDICARE
TX
Enumeration date
06/30/2008
Last updated
05/16/2022
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