Individual
TERRELL BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 ZIMMERMAN ST, BREAUX BRIDGE, LA 70517-5855
(337) 342-1204
Mailing address
612 ZIMMERMAN ST, BREAUX BRIDGE, LA 70517-5855
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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