Individual
CHRIS BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
6161 HARRY HINES BLVD STE 105, DALLAS, TX 75235-5306
(214) 905-9555
(214) 905-9556
Mailing address
6161 HARRY HINES BLVD STE 105, DALLAS, TX 75235-5306
(214) 905-9555
(214) 905-9556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1098317
TX
Other
Enumeration date
01/15/2007
Last updated
11/11/2009
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