Individual
DR. JOEL EARL BROUSSARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
11149 RESEARCH, SUITE 270, AUSTIN, TX 78759-5279
(512) 349-9443
(512) 502-9689
Mailing address
11149 RESEARCH, SUITE 270, AUSTIN, TX 78759-5279
(512) 349-9443
(512) 502-9689
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8751
TX
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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