Individual
DR. JOHN BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 HARBORSIDE DR, GALVESTON, TX 77550
(786) 843-7869
Mailing address
4119 AVENUE T 1/2 UNIT RR, GALVESTON, TX 77550-8649
(786) 843-7869
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
U4750
TX
208D00000X
General Practice Physician
U4750
TX
Other
Enumeration date
03/27/2019
Last updated
07/27/2023
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