Individual
PAMELA BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
470 CLOVERLEAF DR, LANCASTER, TX 75146-2917
(972) 754-2084
(972) 218-9195
Mailing address
470 CLOVERLEAF DR, LANCASTER, TX 75146-2917
(972) 754-2084
(972) 218-9195
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/14/2008
Last updated
04/29/2022
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