Individual
CRYSTAL R BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3466 DISCOVERY CREEK BLVD STE 600, SPRING, TX 77386-7129
(324) 926-5448
Mailing address
27502 BLUE CEDAR LN, SPRING, TX 77386-3521
(713) 304-9337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L8243
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173686001
—
TX
Enumeration date
07/26/2006
Last updated
10/24/2022
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