Individual
DR. JAMES COTY BROUSSARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6755 PHELAN BLVD, SUITE18, BEAUMONT, TX 77706-6075
(409) 866-7566
Mailing address
6755 PHELAN BLVD, SUITE 18, BEAUMONT, TX 77706-6075
(409) 866-7566
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9733
TX
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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