Organization
RICHARD KENT BROUSSARD LLC
Active
Other names
Richard K. Broussard, MD
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD KENT BROUSSARD M.D. (OWNER)
(337) 269-0963
Entity
Organization
Contact information
Practice address
439 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 269-0963
(337) 269-0553
Mailing address
439 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 269-0963
(337) 269-0553
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
018918
LA
Other
Enumeration date
01/02/2007
Last updated
07/01/2010
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