Individual
SCOTTY BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
3201 BEE CAVE RD, SUITE 154, AUSTIN, TX 78746-6771
(512) 330-1772
Mailing address
2613 ALCOTT LN, UNIT A, AUSTIN, TX 78748-5662
(512) 497-8075
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01087
TX
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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